Individual
AMY L ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1023 SANIBEL WAY, LA GRANGE, KY 40031-9157
(502) 222-3302
(502) 222-3624
Mailing address
2600 STANLEY GAULT PKWY, SUITE 201, LOUISVILLE, KY 40223-4197
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1596
KY
Other
Enumeration date
10/04/2011
Last updated
10/28/2016
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