Amanda M Kemp
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jeffersontown, KY
NPI 1699548701 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1699548701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1700 Cargo CT
Jeffersontown, KY 40299-1938 - Phone
- (812) 913-2839
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1700 Cargo CT
Jeffersontown, KY 40299-1938
Mailing address
417 E Brookelynn CT
Pekin, IN 47165-7880
Phone (812) 913-2839
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- Jeffersontown Opco, LLC
- Ebboni Johnson
- Caroline Sue Jones
- William E Kemper
- Kentucky CVS Pharmacy, L.L.C
- Neil Langschied
- Haley Rose Lautenbach
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All providers in Jeffersontown, KY · Addiction (Substance Use Disorder) Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.