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Individual

CRAIG B. AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 821-4444
(270) 821-9188
Mailing address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 821-4444
(270) 821-9188

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23965
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000475411
BCBS PIN
KY
05
6423965000
KY
Enumeration date
03/31/2006
Last updated
05/14/2019
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