Individual
MICHAEL PHILIP GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-3298
(270) 988-4642
Mailing address
141 HOSPITAL DR, PO BOX 347, SALEM, KY 42078-8043
(270) 988-3298
(270) 988-4642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21359
KY
208D00000X
General Practice Physician
Primary
21359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64213598
—
KY
Enumeration date
01/24/2006
Last updated
03/17/2015
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