SearchKentucky106S00000X

Amanda Kelly

NPI 1417654237 · on the registry since 2023 · sole proprietor

Practice

Address
298 Medley Ct
Vine Grove, KY 40175
Phone
(270) 352-1133
Clinicians at this address
19

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky