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Individual

AMANDA SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 737-0077
(270) 765-6243
Mailing address
1370 ROGERSVILLE RD, SUITE 100, RADCLIFF, KY 40160-9344
(270) 769-0110
(270) 765-6953

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6094
KY

Other

Enumeration date
07/29/2009
Last updated
06/07/2019
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