Abbott, Amanda Slaven

Abbott, Amanda Slaven is an individual health care provider with primary practice located at 1203 American Greeting Card Rd , Corbin KY 40701-4811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Abbott, Amanda Slaven can be contacted via phone (606) 528-7010.

Contact Information

Primary practice address
1203 American Greeting Card Rd Corbin KY 40701-4811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3010612 Kentucky

Profile Details

NPI number 1366997652
LBN Legal business name Abbott, Amanda Slaven
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2016
Last updated Mar 21st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366997652 NPPES
Kentucky MEDICAID 7100445400

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