Individual
DUSTIN SCOTT AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1498 W CUMBERLAND GAP PKWY, CORBIN, KY 40701-5902
(606) 280-7875
Mailing address
1498 W CUMBERLAND GAP PKWY, CORBIN, KY 40701-5902
(606) 280-7875
(833) 974-2501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2722
KY
Other
Enumeration date
10/02/2020
Last updated
09/06/2024
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