Organization
WOMEN'S HEALTH OF WINCHESTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY CLEVENGER (CREDENTIALING)
(502) 523-6695
Entity
Organization
Contact information
Practice address
225 HOSPITAL DR, BLDG B, STE 255, WINCHESTER, KY 40391-7676
(859) 744-2623
(859) 744-9421
Mailing address
225 HOSPITAL DR, BLDG B, STE 255, WINCHESTER, KY 40391-7676
(859) 744-2623
(859) 744-9421
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1051070
KY
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049460
BCBS
KY
01
—
18D0687913
CLIA
KY
05
—
64220569
—
KY
Enumeration date
10/18/2007
Last updated
05/04/2020
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