Individual
DR. NICHOLAS SHANE KOUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1107 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(859) 745-6471
(859) 744-0257
Mailing address
PO BOX 4140, 1107 WEST LEXINGTON AVENUE, WINCHESTER, KY 40392-4140
(859) 745-6471
(859) 744-0257
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
02393
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356894
BLUE CROSS
KY
05
—
64023930
—
KY
Enumeration date
09/20/2006
Last updated
10/22/2007
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