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Individual
AMY JO RATLEY
Active
Individual
AMY JO RATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000551164
ANTHEM BLUE CROSS BLUE SHIELD
—
05
—
64000441
—
KY
Enumeration date
08/04/2006
Last updated
04/23/2008
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