Individual
AMANDA DIANE BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105A GREENBRIAR DR, CAMPBELLSVILLE, KY 42718-9617
(270) 465-3595
(270) 789-2044
Mailing address
105A GREENBRIAR DR, CAMPBELLSVILLE, KY 42718-9617
(270) 465-3595
(270) 789-2044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 1229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100107760
—
KY
Enumeration date
09/16/2009
Last updated
12/07/2011
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