Amanda Cavins

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Walton, KY

NPI 1851921829 · NPPES record last updated Jan 18, 2020

Key facts

NPI
1851921829
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
019542 (KY)
Practice address
635 Chestnut Dr
Walton, KY 41094-7841
Phone
(859) 379-0030
NPI assigned
Jan 18, 2020
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

State licenses

LicenseStateTypeSpecialty
019542KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 019542 KY Yes

Addresses

Primary practice location

635 Chestnut Dr
Walton, KY 41094-7841

Mailing address

635 Chestnut Dr
Walton, KY 41094-7841
Phone (859) 379-0030

Other names

  • Amanda Smith Other name

Other providers in Walton, KY

All providers in Walton, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.