Organization
POTENTIAL
Active
Organization
POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMRO AMER ABNM, ABCN, CNIM (NEUROPHYSIOLOGIST)
(502) 509-1046
Entity
Organization
Contact information
Practice address
13109 DOGWOOD FOREST CT, LOUISVILLE, KY 40245-1995
(502) 509-1046
Mailing address
13109 DOGWOOD FOREST CT, LOUISVILLE, KY 40245-1995
(502) 509-1046
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5025091046
—
KY
Enumeration date
03/05/2021
Last updated
03/05/2021
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