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NPI Code Detail

MEDICARE: SPENSER CLAIBORNE

MEDICARE: SPENSER CLAIBORNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist019874KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1019874OTHERKYPHARMACIST LICENSE NUMBER

General Provider Information

NPI Number : 1528549144
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENSER CLAIBORNE
Provider Business Mailing Address
First Line : 171 WOODLAND DR
Second Line :
City : SOMERSET
State : KY
Zip : 42501-1351
Country : US
Telephone Number : 615-388-5020
Fax Number :
Provider Business Practice Location Address
First Line : 1261 US HIGHWAY 27 N
Second Line :
City : STANFORD
State : KY
Zip : 40484-9750
Country : US
Telephone Number : 606-365-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ SPENSER CLAIBORNE ” Practice Location

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