MEDICARE: SHAMPANE D GULLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215669361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMPANE D GULLEY

Provider Business Mailing Address
First Line	:	121 E LEXINGTON AVE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-2052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 E LEXINGTON AVE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-2052
Country	:	US
Telephone Number	:	859-432-3055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2022
Last Update Date	:	02/02/2026

Similar Medicare Providers

1962067983 — N8 FAMILY CHIROPRACTIC OF CANAL WINCHESTER
Practice Location Address:

6302 GENDER RD
CANAL WINCHESTER, OH
43110-2052

Practice Phone: 614-321-4764
Practice Fax: 614-828-8522

1649046582 — CALEB LEWIS HORN DC
Practice Location Address:

6302 GENDER RD
CANAL WINCHESTER, OH
43110-2052

Practice Phone: 614-321-4764
Practice Fax: 614-828-8522

1326045360 — MR. JEREMY SEAN KRUGER MSPT
Practice Location Address:

404 SHOPPERS DR
WINCHESTER, KY
40391-1378

Practice Phone: 859-737-5333
Practice Fax: 859-737-0070

1548268279 — DR. FREDDIE L TERRELL MD
Practice Location Address:

1114 MCCANN DR
WINCHESTER, KY
40391-1157

Practice Phone: 859-737-4411
Practice Fax: 859-737-2123

1316946932 — REBECCA DIANE BARTEE DO
Practice Location Address:

225 HOSPITAL DR
WINCHESTER, KY
40391-7604

Practice Phone: 859-737-9900
Practice Fax: 859-737-0050

1750381539 — CITY OF WINCHESTER OFFICE OF TREASURER
Practice Location Address:

44 N MAPLE ST
WINCHESTER, KY
40391-1955

Practice Phone: 859-744-1587
Practice Fax: 859-737-9085

Directions to “ SHAMPANE D GULLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.