AMANDA BETH CHISM
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1295050672- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 75 NATURE TRL STE 3, RADCLIFF, KY, 401609111
- Phone
- (270) 351-2323
- Fax
- (270) 351-8031
Specialties & Taxonomies
Internal Medicine
Primary License: KY #46978