Organization
ADVAMED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTANY ADAMS (MANAGER)
(606) 309-6612
Entity
Organization
Contact information
Practice address
301 WENDELL WAY, LONDON, KY 40741-2064
(606) 309-6612
Mailing address
301 WENDELL WAY, LONDON, KY 40741-2064
(606) 309-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY MULTI SPECIALTY
KY
Enumeration date
09/21/2019
Last updated
10/02/2019
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