Individual
MRS. AMANDA JO HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
2575 N HIGHWAY 1247, SOMERSET, KY 42503-4603
(606) 875-5521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1121119
KY
363L00000X
Nurse Practitioner
Primary
4026740
KY
Other
Enumeration date
05/20/2024
Last updated
08/25/2024
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