Individual
AMANDA S KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 CABINWOOD DR, LOUISVILLE, KY 40220-2605
(502) 262-3438
Mailing address
3117 CABINWOOD DR, LOUISVILLE, KY 40220-2605
(502) 262-3438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1316
KY
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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