Individual
AMANDA BELLE HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4123 DUTCHMANS LN, SUITE 503, LOUISVILLE, KY 40207-4707
(502) 409-5600
(502) 259-3078
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42690
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528120
—
IN
05
—
272440
—
OR
05
—
64119936
—
KY
Enumeration date
10/19/2005
Last updated
04/11/2024
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