Individual
MICHAEL EDWARD GINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RVT
Contact information
Practice address
805 ALEXA DR, SUITE E, MOUNT STERLING, KY 40353-1000
(606) 776-0134
(606) 849-2166
Mailing address
805 ALEXA DR STE E, P.O. BOX 664, MOUNT STERLING, KY 40353-1000
(606) 776-0134
(606) 849-2166
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
07195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000073131
ANTHEM PIN
KY
01
—
1600263
UNITED HEALTHCARE
KY
01
—
630000472
RAILROAD MEDICARE
KY
05
—
86010873
—
KY
Enumeration date
03/11/2008
Last updated
04/30/2015
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