Doctor Name: | MARY AMES |
NPI Number: | 1184603490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1520P |
Business Practice Address: | 851 Ireland Ave Fort Knox, KY - 401212722 |
Business Phone Number: | 5026249794 |
Business Fax Number: | |
Mailing Address: | 151 Collins Dr, ELIZABETHTOWN |
State: | KY |
Postal Code: | 427018109 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 1520P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |