Vickers, Amanda M

Vickers, Amanda M is an sole proprietor health care provider with primary practice located at 200 Rice St , Wilmore KY 40390-1359. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vickers, Amanda M can be contacted via phone (859) 858-9355.

Contact Information

Primary practice address
200 Rice St Wilmore KY 40390-1359
Phone: (859) 858-9355
Fax: (859) 858-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018036866 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TP038 Kentucky

Profile Details

NPI number 1770925794
LBN Legal business name Vickers, Amanda M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2013
Last updated Aug 19th, 2022 - about 4 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 1770925794 NPPES
Missouri MEDICAID 200064469

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