Doctor Name: | DR. AMY B MASHBURN |
NPI Number: | 1487652533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36048 |
Business Practice Address: | 106 Ladish Rd Cynthiana, KY - 410311564 |
Business Phone Number: | 8592348852 |
Business Fax Number: | 8592348859 |
Mailing Address: | 106 Ladish Rd, CYNTHIANA |
State: | KY |
Postal Code: | 410311564 |
Phone Number: | 8592348852 |
Fax Number: | 8592348859 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 01/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 36048 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |