# AMANDA NICOLE LAFERTY

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

## Provider details

- **NPI number:** 1932333721
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA3094 | KY | Yes |
| 363A00000X | Physician Assistant | PAC1029 | ND | — |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/15/2024