Owen, Amanda R.

Owen, Amanda R. is an individual health care provider with primary practice located at 1301 Ring Rd , Elizabethtown KY 42701-8968. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Owen, Amanda R. can be contacted via phone (270) 765-2107.

Contact Information

Primary practice address
1301 Ring Rd Elizabethtown KY 42701-8968
Phone: (270) 765-2107
Fax: (270) 769-9642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005248 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3005248 Kentucky

Profile Details

NPI number 1518158286
LBN Legal business name Owen, Amanda R.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Apr 24th, 2024 - about 7 months 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 1518158286 NPPES
Kentucky Other 50016143 PASSPORT - CMA
Kentucky Other 1567385 PASSPORT - CMA
Kentucky Other 000000534238 PASSPORT - CMA
Kentucky Other 2861862000 PASSPORT - CMA
Kentucky MEDICAID 7100014560 PASSPORT - CMA
Kentucky Other 000023028W PASSPORT - CMA
Kentucky MEDICAID 300056675 PASSPORT - CMA
Kentucky Other K132010 PASSPORT - CMA
Kentucky Other 093346 PASSPORT - CMA

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