# AMANDA R TAYLOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700913472
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA1020 | KY | — |
| 363A00000X | Physician Assistant | PA9112944 | FL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 10/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000514238 | ANTHEM- CMA- CHILDREN'S ORTHPAEDICS OF LOUISVILLE | KY |
| 01 | — | 000051983D | HUMANA- NORTON CHILDREN'S ORTHOPAEDICS OF LOUISVILLE | KY |
| 01 | — | 2847841000 | PASSPORT ADVANTAGE- CHILDREN'S ORTHOPAEDICS OF LOUISVILLE | KY |
| 01 | — | 50015087 | PASSPORT- CHILDREN'S ORTHOPAEDICS OF LOUISVILLE | KY |
| 01 | — | 611276316-046 | TRICARE- CHILDREN'S ORTHOPAEDICS OF LOUISVILLE | KY |
| 01 | — | 710001496 | MEDICAID KY- CHILDREN'S ORTHOPAEDICS OF LOUISVILLE | KY |
| 01 | — | 7985259 | CIGNA- NORTON CHILDREN'S ORTHOPAEDICS OF LOUISVILLE | KY |