Individual
AMY BETH SIEWEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
617 23RD ST STE 212, ASHLAND, KY 41101
(606) 408-8485
(606) 324-1351
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004364
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2590209
—
OH
05
—
78012887
—
KY
01
—
P01138158
RR MEDICARE
KY
Enumeration date
06/07/2006
Last updated
08/14/2018
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