Provider Demographics
NPI:1366619074
Name:FOLLMER, AMY S (DPM)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:S
Last Name:FOLLMER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:151 N EAGLE CREEK DR
Mailing Address - Street 2:STE 201
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1889
Mailing Address - Country:US
Mailing Address - Phone:859-543-2500
Mailing Address - Fax:859-543-9680
Practice Address - Street 1:151 N EAGLE CREEK DR
Practice Address - Street 2:STE 201
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1889
Practice Address - Country:US
Practice Address - Phone:859-543-2500
Practice Address - Fax:859-543-9680
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY259213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY80000227Medicaid
KY4461880001Medicare NSC
KY80000227Medicaid
U75449Medicare UPIN