AMANDA CHISM

HARDIN PROFESSIONAL SERVICES, LLC

Dr AMANDA CHISM is a female medical professional, specializing in Internal Medicine. She graduated in 2010 from University Of Louisville School Of Medicine.

Contact

HARDIN PROFESSIONAL SERVICES, LLC

1360 ROGERSVILLE RD
RADCLIFF
KY
401609344

Tel: 2703511150

AMANDA CHISM Information

Npi 1295050672
Pac Id 8224200159
Professional Enrollment Id I20111018000697
Last Name CHISM
First Name AMANDA
Middle Name
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HARDIN PROFESSIONAL SERVICES, LLC
Group Practice Pac Id 9739191628
Number Of Group Practice Members 179
Line 1 Street Address 1360 ROGERSVILLE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RADCLIFF
State KY
Zip Code 401609344
Phone Number 2703511150
Hospital Affiliation Ccn 1 180012
Hospital Affiliation Lbn 1 HARDIN MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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