Individual
DUSIK K. SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(502) 226-3858
(502) 223-9829
Mailing address
PO BOX 5007, FRANKFORT, KY 40602-5007
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111566
ANTHEM BLUE CROSS
KY
01
—
1600202
UNITED HEALTHCARE
KY
05
—
64266424
—
KY
01
—
C74357
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
09/27/2006
Last updated
07/08/2007
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