Joan Arnold, OTR/L

Individual provider Active NPI Skilled Nursing Facility · Winchester, KY

NPI 1376708495 · NPPES record last updated Jul 29, 2008

Key facts

NPI
1376708495
Entity type
Individual (NPI type 1)
Primary specialty
Skilled Nursing Facility 314000000X
License
R0194 (KY)
Practice address
382 S Main St
Winchester, KY 40391-2466
Phone
(859) 737-2063
Fax
(859) 901-1186
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31003093AINMDSkilled Nursing Facility
R0194KYMDSkilled Nursing Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X R0194 KY Yes
Skilled Nursing Facility 314000000X 31003093A IN

Addresses

Primary practice location

382 S Main St
Winchester, KY 40391-2466

Mailing address

382 S Main St
Winchester, KY 40391-2466
Phone (859) 737-2063

Other providers in Winchester, KY

All providers in Winchester, KY · Skilled Nursing Facility in Kentucky

Sources for this page

Verify at the official NPI Registry.