Individual
AMANDA WECKMAN CARRICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 102, LOUISVILLE, KY 40241-2860
(502) 446-6635
(502) 446-6618
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5530
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200994240
—
IN
05
—
7100133200
—
KY
Enumeration date
03/07/2007
Last updated
08/27/2021
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