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Search › Kentucky › 367A00000X

Amanda Forristal

NPI 1861531360 · on the registry since 2007 · sole proprietor

Practice

Address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 798-8035
Organisation at this address
Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
989

Additional practice sites

  • 1061 Harmon Ave Ste 1d03, Fort Stewart, GA

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-12-11

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