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AMANDA LAUREN MATTINGLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
102 WINSTON WAY, CAMPBELLSVILLE, KY 42718-4990
(270) 789-0034
Mailing address
4770 SAINT ROSE RD, LEBANON, KY 40033-9167
(270) 692-8759

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016505
KY

Other

Enumeration date
09/20/2021
Last updated
09/20/2021
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