Individual
KIRBY AMANDA TALMAN
Active
Sole proprietor
Yes
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
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0000001308
TN
363A00000X
Physician Assistant
Primary
TC008
KY
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
11/06/2012
Last updated
09/12/2023
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