Kenrick Anthony Spence I, M.D., F.A.C.S.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME77827 Issued in FL

Practice address

130 Hillcrest St
Orlando, FL 32801-1210

Phone

(407) 999-2585

Fax

(407) 999-2628

NPI assigned

Mar 18, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1033451950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011210",
            "telephone_number": "407-999-2585",
            "fax_number": "407-999-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011210",
            "telephone_number": "407-999-2585",
            "fax_number": "407-999-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "KENRICK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME77827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charliana Speights
• Spektrum Health
• Jacqueline Y Spence-Thompson, ARNP, FNP
• Alicia Spence
• Gary Brewster Spence, DDS
• Jesusa T Spencer-Dejesus
• Andrea Spencer
• Corey Calvin Spencer, MD
• Daniel Patrick Spencer, PA
• Eleanor L Spencer, PTA

• Plastic Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.