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Individual

LEIGH A GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
909 VINE ST, CINCINNATI, OH 45202-1105
(513) 861-3100
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37401
KY
2084P0800X
Psychiatry Physician
Primary
35076854
OH
2084P0800X
Psychiatry Physician
37401
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080189334
RAILROAD MEDICARE
KY
05
2312152
OH
05
64052939
KY
Enumeration date
05/31/2006
Last updated
07/22/2021
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