| Winchester Family Practice, Psc | |
|
1110 Mccann Dr Suite B Winchester KY 40391-1157 | |
| (859) 744-1445 | |
| (859) 744-1442 |
| Full Name | Winchester Family Practice, Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 1110 Mccann Dr, Winchester, Kentucky |
| Authorized Official Name and Position | Amina Shalash (OWNER) |
| Authorized Official Contact | 8597441445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Family Practice, Psc 1110 Mccann Drive Suite B Winchester KY 40391 Ph: (859) 744-1445 | Winchester Family Practice, Psc 1110 Mccann Dr Suite B Winchester KY 40391-1157 Ph: (859) 744-1445 |
| NPI Number | 1528094281 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 02/15/2008 |
| Medicare PECOS PAC ID | 9638088388 |
|---|---|
| Medicare Enrollment ID | O20030206000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528094281 | NPI | - | NPPES |
| 35001445 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36085 (Kentucky) | Primary |
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