Individual
MICAH KAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
415 1/2 W ASHLAND AVE, LOUISVILLE, KY 40214-1409
(502) 361-7763
Mailing address
415 1/2 W ASHLAND AVE, LOUISVILLE, KY 40214-1409
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
KY
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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