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MR. KELLY L. SPARKS PA
NPI 1649245309
Physician Assistant - Surgical in Danville, VA

Active since February 17, 2006
109 BRIDGE ST STE 300, DANVILLE, VA 24541(434) 793-4711(434) 797-2514 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, Jun 24, 2020, Dec 9, 2015 (3 updates tracked since 2015).

About Mr. Kelly L. Sparks Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY L. SPARKS PA (NPI 1649245309) is an individual surgical provider in Danville, Virginia and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1649245309
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KELLY L. SPARKSCredential: PA
Location Address109 BRIDGE ST STE 300Danville, VA 24541-1222
Mailing Address109 Bridge St Ste 300Danville, VA 24541-1222 · (434) 793-4711 · Fax (434) 797-2514
Phone(434) 793-4711
Fax(434) 797-2514
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1649245309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 85080096 (IL), 10000928A (IN)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110007007 (VA)
109 BRIDGE ST STE 300, Danville, VA 24541
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Other Identifiers 2

Other0110007007VA · State License
OtherVVX692AVA · Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATTI PIERCE SNEAD DPT
Physical Therapist
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711
DR. EDUARDO MAURICIO FRAIFELD MD
Anesthesiology (Pain Medicine)
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (347) 934-7114
BRADFORD HYLTON DPT
Physical Therapist
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711
MRS. JENNIFER DAVIS PT
Physical Therapist
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711
MR. DREW GUNNELL PTA
Physical Therapy Assistant
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711
MRS. LESLIE COLEMAN LOVELACE PT
Physical Therapist
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711
MR. JOHN ROSS WILKINSON PT
Physical Therapist
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711
MR. DEVYN GILL PTA
Physical Therapy Assistant
109 BRIDGE ST STE 300
DANVILLE, VA 24541
Danville City (434) 793-4711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Sparks's NPI number?

The NPI number for Kelly Sparks is 1649245309. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Kelly Sparks located?

Kelly Sparks practices at 109 Bridge St Ste 300, Danville, VA 24541. The listed phone number is (434) 793-4711.

What is Kelly Sparks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Sparks was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.