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Individual

AMANDA MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1159
(270) 251-4100
Mailing address
160 PIN HOOK DR, ULYSSES, KY 41264-9008
(870) 613-7304

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3011356
KY

Other

Enumeration date
03/18/2017
Last updated
06/15/2017
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