Comer, Amy R

Comer, Amy R is an individual health care provider with primary practice located at 210 Bevins Ln Ste C, Georgetown KY 40324-6120. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Comer, Amy R can be contacted via phone (502) 868-0622.

Contact Information

Primary practice address
210 Bevins Ln Ste C Georgetown KY 40324-6120
Phone: (502) 868-0622
Fax: (502) 868-9097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4667P Kentucky

Profile Details

NPI number 1962469007
LBN Legal business name Comer, Amy R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Nov 19th, 2010 - about 14 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 1962469007 NPPES
Kentucky MEDICAID 78015138

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