Individual
DR. KRISTIN KAYE GINGRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5230 HICKORY PARK DR, SUITE D, GLEN ALLEN, VA 23059-2628
(804) 934-0661
(804) 934-0663
Mailing address
5230 HICKORY PARK DR, SUITE D, GLEN ALLEN, VA 23059-2628
(804) 934-0661
(804) 934-0663
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130184
SOUTHERN HEALTH
VA
01
—
140044
ANTHEM PROVIDER ID
VA
01
—
286847
MAMSI
VA
01
—
480030840
MEDICARE RR
VA
Enumeration date
04/27/2006
Last updated
11/28/2012
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