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Individual

DR. ROBIN GRANT KINDIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1023 NEW MOODY LN, SUITE 201, LA GRANGE, KY 40031-9177
(502) 225-5520
(502) 225-5522
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41940
KY
208000000X
Pediatrics Physician
41940
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000612326
ANTHEM
05
7100088590
KY
01
P00725381
RAILROAD MEDICARE
KY
Enumeration date
02/09/2007
Last updated
05/10/2016
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