Individual
AMANDA BETH CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 NATURE TRL STE 3, RADCLIFF, KY 40160-9111
(270) 351-2323
(270) 351-8031
Mailing address
75 NATURE TRL STE 3, RADCLIFF, KY 40160-9111
(270) 351-2323
(270) 351-8031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46978
KY
Other
Enumeration date
03/29/2010
Last updated
12/05/2024
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