Individual
DR. AMANDA JOY KORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
104 N WALNUT ST, WEST UNION, IA 52175-1347
(563) 422-6085
Mailing address
87 PAINE STREET SE, STE 3, BONDURANT, IA 50035-1451
(515) 267-7908
(515) 209-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1926DT
KY
Other
Enumeration date
08/04/2013
Last updated
04/06/2020
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