Individual
KIRBY AMANDA TALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2933 BRECKENRIDGE LN STE 103, LOUISVILLE, KY 40220-1494
(502) 394-5678
(502) 394-5600
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0000001308
TN
363A00000X
Physician Assistant
0110012056
VA
363A00000X
Physician Assistant
Primary
TC008
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2012
Last updated
08/10/2026
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