Individual
AMANDA KILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2340 WARREN RD STE 106, INDIANA, PA 15701-2413
(724) 436-7047
Mailing address
2340 WARREN RD STE 106, INDIANA, PA 15701-2413
(724) 436-7047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS021775
PA
207Q00000X
Family Medicine Physician
OT020278
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT020278
OH
Other
Enumeration date
06/01/2020
Last updated
04/10/2025
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