Amanda Soudom, APRN is a
Nurse Practitioner - Family based in Battletown, Kentucky. Amanda Soudom is licensed to practice in Kentucky (license number 4015068) and her current practice location is
1600 Willetts Bottom Rd, Battletown, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 475-1038.
NPI number for Amanda Soudom is 1467223685 and her current mailing address is 1600 Willetts Bottom Rd, Battletown, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467223685.
Provider's Profile
Full Name | Amanda Soudom |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1600 Willetts Bottom Rd, Battletown, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467223685
- Provider Enumeration Date: 01/16/2024
- Last Update Date: 01/16/2024
Medical Identifiers
Medical identifiers for Amanda Soudom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467223685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4015068 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Soudom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Soudom, APRN 1600 Willetts Bottom Rd, Battletown, KY 40104-7316 Ph: (502) 475-1038 | Amanda Soudom, APRN 1600 Willetts Bottom Rd, Battletown, KY 40104-7316 Ph: (502) 475-1038 |
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