Healthcare Provider Details

I. General information

NPI: 1073720090
Provider Name (Legal Business Name): AMANDA JO DROPIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 CAVALIER BLVD # 330
FLORENCE KY
41042-3901
US

IV. Provider business mailing address

59 CAVALIER BLVD # 330
FLORENCE KY
41042-3901
US

V. Phone/Fax

Practice location:
  • Phone: 859-371-3232
  • Fax: 859-371-6943
Mailing address:
  • Phone: 859-371-3232
  • Fax: 859-371-6943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.091600
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: