Brandon, Amanda Marie

Brandon, Amanda Marie is an sole proprietor health care provider with primary practice located at 2 Trillium Way Suite 306, Corbin KY 40701-8490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brandon, Amanda Marie can be contacted via phone (606) 526-4070.

Contact Information

Primary practice address
2 Trillium Way Suite 306 Corbin KY 40701-8490
Phone: (606) 526-4070
Fax: (606) 526-4072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1826 Kentucky

Profile Details

NPI number 1023445277
LBN Legal business name Brandon, Amanda Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2013
Last updated Dec 8th, 2020 - about 5 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 1023445277 NPPES
Kentucky MEDICAID 7100268870
Kentucky Other P01404879

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