Individual
AMANDA YBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE STE L504, LEXINGTON, KY 40536-1791
(859) 323-9555
(859) 257-9288
Mailing address
3306 ALCOTT PL, LEXINGTON, KY 40509-7805
(304) 638-8565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2714
KY
363A00000X
Physician Assistant
TC977
KY
363AM0700X
Medical Physician Assistant
PA2714
KY
363AS0400X
Surgical Physician Assistant
PA2714
KY
Other
Enumeration date
04/07/2020
Last updated
07/11/2022
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