Individual
DR. JAMES S GWINN JR.
Active
Individual
DR. JAMES S GWINN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
19484
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002740322
—
IL
01
—
060008620
RAILROAD MEDIARE PIN
KY
01
—
2152
KENTUCKY BLS PROVIDER
KY
01
—
610976324003
CHAMPUS ID #
KY
05
—
64194848
—
KY
Enumeration date
06/30/2006
Last updated
09/12/2011
Update your record
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