Individual
MRS. AMANDA KATHRYN HAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 TRILLIUM WAY STE 306, CORBIN, KY 40701-8426
(606) 526-4070
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1852
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100268960
—
KY
01
—
P01434999
RR MEDICARE
KY
Enumeration date
10/02/2013
Last updated
12/09/2020
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