Organization
AMANDA HENDRICKS, APRN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA SUE HENDRICKS APRN (OWNER)
(270) 307-3905
Entity
Organization
Contact information
Practice address
1230 WOODLAND DR STE 211, ELIZABETHTOWN, KY 42701-2792
(270) 982-2500
(270) 982-2501
Mailing address
1230 WOODLAND DR STE 211, ELIZABETHTOWN, KY 42701-2792
(270) 982-2500
(270) 982-2501
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
05/03/2023
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