Individual
DR. GINA D'COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
793 EASTERN BYPASS, SUITE 201, RICHMOND, KY 40475-2440
(859) 624-6560
(859) 624-6569
Mailing address
793 EASTERN BYP, SUITE 201, RICHMOND, KY 40475-2422
(859) 624-6560
(859) 624-6560
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
39044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64094576
—
KY
Enumeration date
07/02/2006
Last updated
12/03/2020
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