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Individual
TERRI HUNT AMOS
Active
Individual
TERRI HUNT AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4731P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489598
ANTHEM BC/BS
KY
01
—
7100028630
MEDICAID GROUP
KY
05
—
78018199
—
KY
Enumeration date
03/29/2006
Last updated
04/24/2008
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