Dwyer, Amy

Dwyer, Amy is an individual health care provider with primary practice located at 615 S Preston St , Louisville KY 40202-1715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Dwyer, Amy can be contacted via phone (502) 852-5757.

Contact Information

Primary practice address
615 S Preston St Louisville KY 40202-1715
Phone: (502) 852-5757
Fax: (502) 852-7643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 38850 Kentucky

Profile Details

NPI number 1184614430
LBN Legal business name Dwyer, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 19 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 1184614430 NPPES
Kentucky MEDICAID 64091077

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