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Individual

AMANDA FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
571 S FLOYD ST, SUITE 412, LOUISVILLE, KY 40202-3818
(502) 629-8828
(502) 629-6783
Mailing address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 588-0982
(502) 588-0987

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49864
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
49864
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2014
Last updated
01/12/2021
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