Wigginton, Larry S

Wigginton, Larry S is an individual health care provider with primary practice located at 2211 Mayfair Drive Suite 201, Owensboro KY 42301-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wigginton, Larry S can be contacted via phone (270) 926-8222.

Contact Information

Primary practice address
2211 Mayfair Drive Suite 201 Owensboro KY 42301-4569
Phone: (270) 926-8222
Fax: (270) 685-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14856 Kentucky

Profile Details

NPI number 1942307343
LBN Legal business name Wigginton, Larry S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942307343 NPPES
Kentucky MEDICAID 64148562

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