Individual
AMANDA A. HEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-4468
(859) 212-4357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48512
KY
208M00000X
Hospitalist Physician
Primary
48512
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201401780
—
IN
05
—
7100397610
—
KY
01
—
P01721097
RR MEDICARE
KY
Enumeration date
06/15/2013
Last updated
02/07/2022
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