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NPI Code Detail

MEDICARE: GINA SABBAK

MEDICARE: GINA SABBAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1202D00000XIntegrative Medicine Physician7720KY

General Provider Information

NPI Number : 1649112301
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA SABBAK
Provider Business Mailing Address
First Line : 2323 LIME KILN LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-3416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2323 LIME KILN LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-3416
Country : US
Telephone Number : 502-901-8089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ GINA SABBAK ” Practice Location

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