Individual
AMY ALLYN JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 852-5689
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100105060
—
KY
Enumeration date
09/03/2009
Last updated
11/24/2020
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