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NPI Code Detail

MEDICARE: DR. DENISE LYNN WINLAND M.D.

MEDICARE:  DR. DENISE LYNN WINLAND  M.D.
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
12084P0800XPsychiatry Physician22830KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000050294OTHERKYANTHEM BCBS

General Provider Information

NPI Number : 1619039302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENISE LYNN WINLAND M.D.
Provider Business Mailing Address
First Line : 8135 NEW LAGRANGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-4682
Country : US
Telephone Number : 502-423-1994
Fax Number : 502-423-1935
Provider Business Practice Location Address
First Line : 8135 NEW LAGRANGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-4682
Country : US
Telephone Number : 502-423-1994
Fax Number : 502-423-1935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DENISE LYNN WINLAND M.D.” Practice Location

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