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Organization
WINCHESTER MEDICAL ASSOCIATES, LLC
Active
Organization
WINCHESTER MEDICAL ASSOCIATES, LLC
Active
Parent organization
WINCHESTER MEDICAL ASSOCIATES, LLC
Other names
NURSE PRACTITIONER GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINCHESTER MEDICAL ASSOCIATES, LLC
Authorized official
RALPH A ALVARADO MD (OWNER)
(859) 744-5111
Entity
Organization
Contact information
Practice address
475 SHOPPERS DR, WINCHESTER, KY 40391-1380
(859) 744-5111
(859) 744-1177
Mailing address
475 SHOPPERS DR, WINCHESTER, KY 40391-1380
(859) 744-5111
(859) 744-1177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78901261
—
KY
Enumeration date
09/17/2007
Last updated
10/30/2007
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