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Contact Information

NICOLE SPURGEON
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY40511-1277
 Phone: 859-253-1686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dance Therapist

225600000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for NICOLE SPURGEON · (Female)

NPI # 1417494394
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2017
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • KY Medicaid 1790731081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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