Hammons, Amanda Kathryn

Hammons, Amanda Kathryn is an sole proprietor health care provider with primary practice located at 2 Trillium Way Ste 306 , Corbin KY 40701-8426. 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. Hammons, Amanda Kathryn can be contacted via phone (606) 526-4070.

Contact Information

Primary practice address
2 Trillium Way Ste 306 Corbin KY 40701-8426
Phone: (606) 526-4070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1852 Kentucky

Profile Details

NPI number 1033546296
LBN Legal business name Hammons, Amanda Kathryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2013
Last updated Dec 9th, 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 1033546296 NPPES
Kentucky MEDICAID 7100268960
Kentucky Other P01434999

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