OrganizationActive
Amanda Hendricks, Aprn, PLLC
NPI 1396452934 · Primary Care Clinic/Center · Elizabethtown, KY
Provider details
- NPI number
- 1396452934
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Hendricks, Owner(270) 307-3905
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1230 Woodland Dr Ste 211
Elizabethtown, KY 42701-2792
Phone: (270) 982-2500
Fax: (270) 982-2501
Approximate (ZIP-level) locationGet directions
Mailing address
1230 Woodland Dr Ste 211
Elizabethtown, KY 42701-2792
Registry dates
- Enumerated
- 2022-11-02
- Last updated
- 2023-05-03
- Certified
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.