Organization
COMMUNITY ALLERGY & ASTHMA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY B MASHBURN MD (OWNER/PRESIDENT)
(859) 234-8852
Entity
Organization
Contact information
Practice address
106 LADISH RD, CYNTHIANA, KY 41031-1564
(859) 234-8852
(859) 234-8859
Mailing address
106 LADISH RD, CYNTHIANA, KY 41031-1564
(859) 234-8852
(859) 234-8859
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36048
KY
363AM0700X
Medical Physician Assistant
PA1557
KY
Other
Enumeration date
10/29/2007
Last updated
03/07/2011
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