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Contact Information

ADVAMED HEALTH LLC
301 WENDELL WAY
LONDON, KY40741-2064
 Phone: 606-309-6612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for ADVAMED HEALTH LLC · (Female)

NPI Number 1336790302
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2019
Last updated 10/02/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Other 193200000X TAXONOMY MULTI SPECIALTY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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