Organization
WINCHESTER RADIOLOGY, PSC
Active
Organization
WINCHESTER RADIOLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSIK K. SHIN M.D. (PRESIDENT)
(859) 745-3500
Entity
Organization
Contact information
Practice address
1107 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(859) 745-3500
(859) 345-3403
Mailing address
PO BOX 5007, FRANKFORT, KY 40602-5007
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111566
ANTHEM BLUE CROSS
KY
05
—
65915365
—
KY
Enumeration date
09/27/2006
Last updated
08/22/2020
Update your record
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