Individual
GINA L LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
795 EASTERN BYPASS, BUILDING 2, SUITE 5, RICHMOND, KY 40475-2406
(859) 624-2229
(859) 625-9458
Mailing address
795 EASTERN BYPASS, BUILDING 2, SUITE 5, RICHMOND, KY 40475-2406
(859) 624-2229
(859) 625-9458
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30567
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215093
ANTHEM BCBS
KY
01
—
1482851
UNITED HEALTH CARE
KY
01
—
160057188
RAILROAD MEDICARE
KY
01
—
364489332
TAX ID #
KY
01
—
5533687
AETNA
KY
05
—
6430567500
—
KY
Enumeration date
06/03/2006
Last updated
12/07/2020
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