Individual
AMY ELISABETH HARWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE STE J107, LEXINGTON, KY 40536-3751
(859) 323-5603
(859) 323-3704
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA269
KY
363AM0700X
Medical Physician Assistant
PA269
KY
363AS0400X
Surgical Physician Assistant
PA269
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004172
—
KY
01
—
CF7805
RAILROAD MEDICARE
KY
01
—
CJ2601
RAILROAD MEDICARE
KY
01
—
CN8331
RAILROAD MEDICARE
KY
Enumeration date
06/30/2005
Last updated
01/28/2025
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