Individual
KATHLEEN LOUISE PAVEL
Active
Individual
KATHLEEN LOUISE PAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592-40194
BCBS AL
AL
01
—
LP952
MCR FL
FL
01
—
P4ZXN
BCBS FL
FL
05
—
PENDING
—
FL
Enumeration date
01/23/2007
Last updated
10/15/2019
Update your record
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