# LARRY PAUL GRIFFIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972508133
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 01035329A | IN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 17396 | KY | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD21040 | DC | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 10/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0700557 | UNITED HEALTHCARE | KY |
| 01 | — | 1097322 | PASSPORT | KY |
| 01 | — | 2112000000044474 | BLUE CROSS/BLUE SHIELD | KY |
| 01 | — | 2258716 | AETNA | KY |
| 01 | — | 50036611 | PASSPORT - WS | KY |
| 01 | — | 610673930S | HUMANA | KY |
| 05 | — | 64173966 | — | KY |