Individual
MS. AMY F DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10216 TAYLORSVILLE RD, SUITE #400, LOUISVILLE, KY 40299-3616
(502) 267-5456
(502) 267-5488
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA209
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708714
ANTHEM
KY
01
—
50032128
PASSPORT
KY
Enumeration date
08/17/2006
Last updated
12/03/2020
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