Individual
AMANDA SOUDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
534 HILLCREST DR, BRANDENBURG, KY 40108-1296
(270) 422-5000
(270) 422-5052
Mailing address
534 HILLCREST DR, BRANDENBURG, KY 40108-1296
(270) 422-5000
(270) 422-5052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4015068
KY
Other
Enumeration date
01/16/2024
Last updated
04/29/2026
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