# COMMUNITY ALLERGY & ASTHMA PSC

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

## Provider details

- **NPI number:** 1972782712
- **Authorized official:** DR. AMY B MASHBURN MD (OWNER/PRESIDENT)
- **Authorized official phone:** (859) 234-8852

## Contact information

- **Practice address:** 106 LADISH RD, CYNTHIANA, KY 41031-1564
- **Practice address phone:** (859) 234-8852
- **Practice address fax:** (859) 234-8859
- **Mailing address:** 106 LADISH RD, CYNTHIANA, KY 41031-1564
- **Mailing address phone:** (859) 234-8852
- **Mailing address fax:** (859) 234-8859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 36048 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | PA1557 | KY | — |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 03/07/2011