Healthcare Provider Details

I. General information

NPI: 1013865104
Provider Name (Legal Business Name): EMMA WINDHORST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 ROSE STREET
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

3200 TODDS RD APT 1713
LEXINGTON KY
40509-8424
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-6161
  • Fax:
Mailing address:
  • Phone: 270-293-3643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: