Organization
WINCHESTER FAMILY PRACTICE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINA SHALASH M.D. (OWNER)
(859) 744-1445
Entity
Organization
Contact information
Practice address
1110 MCCANN DR, SUITE B, WINCHESTER, KY 40391-1157
(859) 744-1445
(859) 744-1442
Mailing address
1110 MCCANN DRIVE, SUITE B, WINCHESTER, KY 40391
(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
—
35001445
—
KY
Enumeration date
06/24/2006
Last updated
02/15/2008
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