Individual
DR. KEVIN T MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 301-2066
Mailing address
PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43304
KY
207VE0102X
Reproductive Endocrinology Physician
22316
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2655023
—
OH
05
—
3810005386
—
WV
05
—
64117617
—
KY
Enumeration date
09/05/2006
Last updated
11/27/2012
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