Individual
SUSAN AMELANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-6211
(859) 257-1888
Mailing address
138 LEADER AVE RM 216, LEXINGTON, KY 40508-3215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2343
KY
Other
Enumeration date
12/02/2017
Last updated
06/02/2020
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