Klosky, Amanda Kathryn

Klosky, Amanda Kathryn is an individual health care provider with primary practice located at 21 Ortho Ln , Atlanta GA 30329-2315. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Klosky, Amanda Kathryn can be contacted via phone (404) 778-3350.

Contact Information

Primary practice address
21 Ortho Ln Atlanta GA 30329-2315
Phone: (404) 778-3350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3264 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 003264 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3264 Georgia

Profile Details

NPI number 1487646287
LBN Legal business name Klosky, Amanda Kathryn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 22nd, 2022 - about 3 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 1487646287 NPPES
Georgia MEDICAID 100000985A

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