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Individual

DR. MICHAEL ALLEN WINTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2830 LONE OAK RD, SUITE 4, PADUCAH, KY 42003-8044
(270) 554-2141
(270) 554-8795
Mailing address
2830 LONE OAK RD, SUITE 4, PADUCAH, KY 42003-8044
(270) 554-2141
(270) 554-8795

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3774
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000062836
ANTHEM BC & BS
KY
01
261469
HEALTHLINK PIN#
KY
01
350048628
RAILROAD MEDICARE
KY
05
85002434
KY
Enumeration date
08/10/2005
Last updated
05/08/2008
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