Individual
RONALD LYNN MCGAVIC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 SAINT MATTHEWS AVE STE 8, LOUISVILLE, KY 40207-3137
(502) 547-7727
(502) 369-9961
Mailing address
PO BOX 1115, SHELBYVILLE, KY 40066-1115
(502) 547-7727
(502) 369-9961
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50343
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100362120
—
KY
Enumeration date
06/06/2014
Last updated
01/27/2025
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