Individual
HECTOR EDUARDO PAVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
298 MAIN ST, SUITE 2, CADIZ, KY 42211-9155
(270) 522-6684
(270) 522-6673
Mailing address
298 MAIN ST, SUITE 2, CADIZ, KY 42211-9155
(270) 522-6684
(270) 522-6673
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
LL441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046941
KENTUCKY BLUE CROSS
KY
05
—
64994411
—
KY
Enumeration date
01/23/2007
Last updated
10/29/2007
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