Individual
AMANDA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2465 LAKEWAY DR, RUSSELL SPRINGS, KY 42642-4510
(270) 858-3636
(270) 858-3660
Mailing address
2465 LAKEWAY DR, RUSSELL SPRINGS, KY 42642-4510
(270) 858-3636
(270) 858-3660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008822
KY
Other
Enumeration date
11/21/2014
Last updated
02/24/2016
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