Individual
AMBER BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 RING RD, ELIZABETHTOWN, KY 42701-4900
(270) 706-1111
Mailing address
123 PAGODA CT, SHEPHERDSVILLE, KY 40165-8198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC100
KY
Other
Enumeration date
10/09/2024
Last updated
11/20/2024
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