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Individual

DR. GINA C WILKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7111
Mailing address
1155 W 3RD ST, BLOOMINGTON, IN 47404-5016
(812) 336-1690
(812) 349-1311

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33258
KY
207R00000X
Internal Medicine Physician
33258
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000710412
ANTHEM
KY
01
33258
KY LICENSE
KY
05
64332588
KY
Enumeration date
08/31/2006
Last updated
03/07/2023
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