Individual
DR. AMY B MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
166 PASADENA DR STE 150, LEXINGTON, KY 40503
(859) 276-1452
(859) 277-1237
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36048
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64013808
—
KY
Enumeration date
07/12/2005
Last updated
11/13/2019
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