Individual
KENNETH CHRISTOPHER GAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
(317) 491-6534
Mailing address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
(317) 491-6534
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
IN
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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