Individual
MARK SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 HOSPITAL DR STE 160, WINCHESTER, KY 40391-7635
(859) 744-3937
(859) 744-3941
Mailing address
225 HOSPITAL DR STE 160, WINCHESTER, KY 40391-7635
(859) 744-3937
(859) 744-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29402
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64294028
—
KY
Enumeration date
05/15/2006
Last updated
07/11/2022
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