Individual
MAE-LAN WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-2015
(913) 945-7043
Mailing address
628 RALEIGH AVE, NORFOLK, VA 23507-2015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
94-09454
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
07/19/2018
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