Individual
DR. AMY LYNN MINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3504 BIRCHMORE PL, LOUISVILLE, KY 40245-8475
(502) 418-0461
Mailing address
3504 BIRCHMORE PL, LOUISVILLE, KY 40245-8475
(502) 418-0461
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44325
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100136340
—
KY
Enumeration date
06/30/2008
Last updated
06/03/2013
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