Individual
DR. AMY ELIZABETH THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
499 INDIAN MOUND DR, MT STERLING, KY 40353-1096
(859) 497-9382
(859) 497-9387
Mailing address
499 INDIAN MOUND DR, MT STERLING, KY 40353-1096
(859) 497-9382
(859) 497-9387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1605DT
KY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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