Individual
AMELIA CARMA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3009774
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100376690
—
KY
Enumeration date
09/30/2015
Last updated
10/23/2020
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