Individual
AMANDA CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 AVIAN LN, LONDON, KY 40744-8960
(606) 215-7178
Mailing address
28 AVIAN LN, LONDON, KY 40744-8960
(606) 215-7178
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201135769
KY
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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