Individual
DR. JAMES MICHAEL GIANNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2138 BROADWAY ST, PADUCAH, KY 42001-7110
(270) 444-7248
(270) 444-6014
Mailing address
2138 BROADWAY ST, PADUCAH, KY 42001-7110
(270) 444-7248
(270) 444-6014
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047676
BLUE SHIELD
KY
05
—
64174733
—
KY
Enumeration date
01/10/2006
Last updated
07/08/2007
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