Individual
AMANDA FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2301 LEXINGTON AVE STE 215, ASHLAND, KY 41101-2833
(606) 408-4900
(606) 408-6643
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-9571
(606) 408-6061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2851
KS
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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