Provider Demographics
NPI:1871666925
Name:ROBBINS, GREGORY LADON (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:LADON
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3937 PEPPERTREE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1398
Mailing Address - Country:US
Mailing Address - Phone:859-224-4355
Mailing Address - Fax:
Practice Address - Street 1:1001 CHERRY BLOSSOM WAY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9564
Practice Address - Country:US
Practice Address - Phone:502-868-4961
Practice Address - Fax:502-868-4998
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY25397207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYGPP65905788Medicaid
KYGPP65905788Medicaid
KYE20400Medicare UPIN