Individual
AMY L. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4004 DUPONT CIR, SUITE 220, LOUISVILLE, KY 40207-4819
(502) 893-0159
(502) 213-3853
Mailing address
PO BOX 950116, LOUISVILLE, KY 40295-0116
(502) 893-0159
(502) 213-3884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125-057082
IL
207Y00000X
Otolaryngology Physician
Primary
47054
KY
Other
Enumeration date
07/22/2009
Last updated
06/23/2014
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