| Mrs Amanda Jo Holder, | |
|
305 Langdon St, Somerset, KY 42503-2750 | |
| (606) 679-7441 | |
| Not Available |
| Full Name | Mrs Amanda Jo Holder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 305 Langdon St, Somerset, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194564211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1121119 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 4026740 (Kentucky) | Primary |
| Entity Name | Lake Cumberland Regional Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861078685 PECOS PAC ID: 7214909456 Enrollment ID: O20040809001229 |
| Entity Name | Lake Cumberland Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811356892 PECOS PAC ID: 2567510464 Enrollment ID: O20090504000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Jo Holder, 2575 N Highway 1247, Somerset, KY 42503-4603 Ph: (606) 875-5521 | Mrs Amanda Jo Holder, 305 Langdon St, Somerset, KY 42503-2750 Ph: (606) 679-7441 |
Patricia Davis Cunningham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Southern School Rd, Somerset, KY 42501 Phone: 606-679-4782 | |
Amanda Dee Brock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Kimberly Suzanne King, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Langdon St, Somerset, KY 42503 Phone: 606-678-8155 Fax: 606-678-7548 | |
Brandi Weddle, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 177 Washington Dr, Somerset, KY 42501 Phone: 859-260-4385 Fax: 859-260-4386 | |
Elizabeth Erin Combs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Langdon St, Somerset, KY 42503 Phone: 606-425-8893 | |
Mrs. Rachel Aubree Chriswell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Bogle St, Somerset, KY 42503 Phone: 606-678-0705 Fax: 606-678-2807 | |
Melinda Bess, APRN-FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Mark Shopville Rd, Somerset, KY 42503 Phone: 606-485-4553 Fax: 606-485-4550 |