Healthcare Provider Details

I. General information

NPI: 1659332526
Provider Name (Legal Business Name): GINA BATTAGLIA GROVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 3RD ST
NEWPORT KY
41071-1814
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-578-5662
  • Fax: 859-261-3777
Mailing address:
  • Phone: 859-578-5662
  • Fax: 859-261-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29849
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: