Individual
AMY MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
260 S MAYO TRL, PIKEVILLE, KY 41501-1520
(606) 437-7327
(606) 432-9428
Mailing address
PO BOX 1475, WILLIAMSON, WV 25661-1475
(304) 235-3993
(304) 235-3993
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56357
WV
363L00000X
Nurse Practitioner
Primary
56357
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WV
Enumeration date
06/14/2006
Last updated
04/20/2012
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