Lane, Amanda Ruth

Lane, Amanda Ruth is an individual health care provider with primary practice located at 867 Mcguire Ave , Paducah KY 42001-4036. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lane, Amanda Ruth can be contacted via phone (270) 442-6168.

Contact Information

Primary practice address
867 Mcguire Ave Paducah KY 42001-4036
Phone: (270) 442-6168
Fax: (270) 443-6211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3125 Kentucky

Profile Details

NPI number 1003013590
LBN Legal business name Lane, Amanda Ruth
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1003013590 NPPES
Kentucky MEDICAID 12501490

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