Individual
DR. SUZANNE MARIE PICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 SHOPPERS DR, SUITE 2, WINCHESTER, KY 40391
(859) 744-1358
(859) 744-3144
Mailing address
505 SHOPPERS DR, SUITE 2, WINCHESTER, KY 40391
(859) 744-1358
(859) 744-3144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28114
KY
208000000X
Pediatrics Physician
28114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050542
ANTHEM BLUE CROSS
KY
05
—
64281140
—
KY
Enumeration date
11/17/2006
Last updated
05/11/2020
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