# ADVAMED HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336790302
- **Authorized official:** CHRISTANY ADAMS (MANAGER)
- **Authorized official phone:** (606) 309-6612

## Contact information

- **Practice address:** 301 WENDELL WAY, LONDON, KY 40741-2064
- **Practice address phone:** (606) 309-6612
- **Mailing address:** 301 WENDELL WAY, LONDON, KY 40741-2064
- **Mailing address phone:** (606) 309-6612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/21/2019
- **Last updated:** 10/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 193200000X | TAXONOMY MULTI SPECIALTY | KY |