Individual
DANIEL A EWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2580 BYPASS ROAD, WINCHESTER, KY 40392
(859) 745-3060
(859) 745-0885
Mailing address
PO BOX 4277, 2580 BYPASS ROAD, WINCHESTER, KY 40392-4277
(859) 745-3060
(859) 745-0885
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25190
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048926
ANTHEM
—
01
—
0800034
UNITED HEALTHCAR OF KY
—
01
—
1450480
UNITED MINE WORKERS
—
01
—
180022279
MEDICARE RAILROAD
—
01
—
3406
BCBS OF KY
KY
01
—
5318116
AETNA
—
01
—
611120291
HUMANA
—
05
—
64251903
—
KY
01
—
C76082
BLUEGRASS FAMILY HEALTH
—
01
—
K010233
CHAMPUS
—
Enumeration date
01/02/2007
Last updated
03/03/2020
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