Individual
PAULA JENELL WINCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
109 N MAIN ST, CORBIN, KY 40701-1449
(606) 528-0900
Mailing address
PO BOX 1262, CORBIN, KY 40702-1262
(606) 528-0900
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-0794898
TAX IDENTIFICATION NUMBER
KY
Enumeration date
04/30/2013
Last updated
03/30/2018
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