Individual
AMY WALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4247 WESTPORT RD, LOUISVILLE, KY 40207-2227
(502) 893-3033
Mailing address
4619 CLARK STATION RD, FINCHVILLE, KY 40022-5758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1126103
KY
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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