Individual
AMELIA ADELAIDE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2195 HARRODSBURG RD STE 2, LEXINGTON, KY 40504-3516
(859) 562-1868
(859) 257-0421
Mailing address
800 ROSE ST RM MN-118, LEXINGTON, KY 40536-7001
(859) 323-5157
(859) 323-1315
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
60158
KY
Other
Enumeration date
03/28/2019
Last updated
12/23/2024
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