Provider Demographics
NPI:1689113334
Name:WINCHESTER, CAROLYN (DNP)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:WINCHESTER
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1601 HIGHWAY 121 BYP N STE B
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-8759
Mailing Address - Country:US
Mailing Address - Phone:270-971-4344
Mailing Address - Fax:270-971-4344
Practice Address - Street 1:1601 HIGHWAY 121 BYP N STE B
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-8759
Practice Address - Country:US
Practice Address - Phone:270-971-4344
Practice Address - Fax:270-908-2267
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100482530Medicaid