Brock, Amanda Dee

Brock, Amanda Dee is an individual health care provider with primary practice located at 350 Langdon St , Somerset KY 42503-2786. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brock, Amanda Dee can be contacted via phone (606) 678-8155.

Contact Information

Primary practice address
350 Langdon St Somerset KY 42503-2786
Phone: (606) 678-8155
Fax: (606) 678-7548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005621 Kentucky
Nursing Service Providers / General Practice 163WG0000X 5621P Kentucky

Profile Details

NPI number 1013165786
LBN Legal business name Brock, Amanda Dee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated May 12th, 2023 - about last year

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 1013165786 NPPES
Kentucky MEDICAID 7100099690
Kentucky Other 11988299

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