Provider Demographics
NPI:1558585513
Name:AMIN, AMANDA LEIGH (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:LEIGH
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:4000 CAMBRIDGE ST # MS 2005
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8501
Mailing Address - Country:US
Mailing Address - Phone:913-588-6150
Mailing Address - Fax:915-945-9410
Practice Address - Street 1:4000 CAMBRIDGE ST # MS 2005
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-6150
Practice Address - Fax:915-945-9410
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2021-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI52600-20208600000X
390200000X
KS04-37382208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program