Individual
AMINA SHALASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 MCCANN DR, SUITE B, WINCHESTER, KY 40391-1157
(859) 744-1445
(859) 744-1442
Mailing address
4 N HIGHLAND ST, STE A, WINCHESTER, KY 40391-2024
(859) 744-1445
(859) 744-1442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36085
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64052665
—
KY
Enumeration date
05/15/2006
Last updated
06/06/2018
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