Individual
MRS. AMANDA QUEEN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9080 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1750
(502) 499-9998
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
(615) 425-4268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007923
KY
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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