Individual
RONALD KEITH PAVKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3217 SUMMIT SQUARE PL STE 100, LEXINGTON, KY 40509-2642
(859) 263-8080
(859) 263-8080
Mailing address
3217 SUMMIT SQUARE PL STE 100, LEXINGTON, KY 40509-2642
(859) 263-8080
(859) 263-8080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005087
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000741682
ANTHEM PIN
KY
05
—
7100182650
—
KY
01
—
9352829
AETNA PIN
KY
Enumeration date
03/30/2007
Last updated
06/18/2014
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