MEDICARE: KATHLEEN DELANEY SPIERS MD

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
1	207RH0003X	Hematology & Oncology Physician	15248	MS
2	207RH0003X	Hematology & Oncology Physician	E3136	AR
3	207RX0202X	Medical Oncology Physician	15248	MS
4	207RH0003X	Hematology & Oncology Physician	21293	TN

General Provider Information

NPI Number	:	1699776518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN DELANEY SPIERS MD

Provider Business Mailing Address
First Line	:	62 GROVE PARK CIR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-3115
Country	:	US
Telephone Number	:	901-485-2810
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 GROVE PARK CIR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-3115
Country	:	US
Telephone Number	:	901-485-2810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	09/21/2023

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