Individual
SHANNON WINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3167 CUSTER DR STE 301, LEXINGTON, KY 40517-4018
(859) 421-7905
Mailing address
1132 COOPER DR, LEXINGTON, KY 40502-2513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
166310
KY
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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