Individual
DR. ANTONINO CAVATAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-4700
(270) 417-4709
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125062742
IL
207R00000X
Internal Medicine Physician
Primary
49495
KY
207R00000X
Internal Medicine Physician
TP237
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100407870
—
KY
Enumeration date
06/19/2013
Last updated
09/16/2016
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