Individual
KEVIN MICHAEL HAVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48411
KY
390200000X
Student in an Organized Health Care Education/Training Program
48411
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308940
—
IN
05
—
7100262560
—
KY
Enumeration date
03/22/2012
Last updated
04/17/2025
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