Brown, Amy Pendleton

Brown, Amy Pendleton is an individual health care provider with primary practice located at 121 College St , Smiths Grove KY 42171-8239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brown, Amy Pendleton can be contacted via phone (270) 563-3000.

Contact Information

Primary practice address
121 College St Smiths Grove KY 42171-8239
Fax: (270) 783-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3014759 Kentucky

Profile Details

NPI number 1184232548
LBN Legal business name Brown, Amy Pendleton
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2020
Last updated Nov 3rd, 2021 - about 4 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 1184232548 NPPES
Kentucky MEDICAID 7100700750

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