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Individual

MERRILL WINCHESTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
71 MEDICAL LN, WHITLEY CITY, KY 42653-4216
(606) 376-7212
(606) 376-7216
Mailing address
117 LARAMIE LANE, WHITLEY CITY, KY 42653
(606) 376-7212

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12693
KY

Other

Enumeration date
11/29/2005
Last updated
07/08/2007
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