Individual
MISS AMY J WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.ED., IECE
Contact information
Practice address
343 WALLER AVE, STE 201, LEXINGTON, KY 40504-2912
(859) 271-9448
(859) 272-6893
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1217
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
201133920
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
08/06/2007
Last updated
06/21/2016
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