Individual
AMY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 BRANCH CT, INDEPENDENCE, KY 41051-9072
(859) 512-9726
Mailing address
615 BRANCH CT, INDEPENDENCE, KY 41051-9072
(859) 512-9726
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
222678
KY
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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