Provider Demographics
NPI:1487876579
Name:WINTERS, AMANDA HOWELL (DC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:HOWELL
Last Name:WINTERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DRY RIDGE
Mailing Address - State:KY
Mailing Address - Zip Code:41035-9406
Mailing Address - Country:US
Mailing Address - Phone:859-824-5800
Mailing Address - Fax:859-824-0885
Practice Address - Street 1:147 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035-9406
Practice Address - Country:US
Practice Address - Phone:859-824-5800
Practice Address - Fax:859-824-0885
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY249689111N00000X
KY5055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2322998OtherHUMANA