Individual
AMANDA LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1090
(270) 683-8672
(270) 685-8223
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 684-0028
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100572330
—
KY
01
—
K255400
MEDICARE
KY
Enumeration date
09/13/2018
Last updated
02/18/2022
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