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Individual

AMY LYNN EDELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2200 E PARRISH AVE BLDG C, OWENSBORO, KY 42303-1449
(270) 478-4019
(270) 478-4129
Mailing address
2200 E PARRISH AVE BLDG C, OWENSBORO, KY 42303-1449
(270) 478-4019
(270) 478-4129

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5130
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100058410
KY
Enumeration date
06/18/2008
Last updated
07/28/2021
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