Individual
AMY M DEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4121 DUTCHMANS LANE, SUITE 601, LOUISVILLE, KY 40207
(502) 895-6559
(502) 895-8994
Mailing address
4121 DUTCHMANS LANE, SUITE 601, LOUISVILLE, KY 40207
(502) 895-6559
(502) 895-8994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33789
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044686
BCBS
KY
05
—
1103823
—
KY
01
—
160037926
RR MEDICARE
KY
01
—
610679864F
HUMANA
KY
Enumeration date
12/02/2005
Last updated
11/30/2012
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