Individual
KRISTIN MICHELLE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 N MAIN ST STE B, HILTON HEAD, SC 29926-4620
(843) 681-9300
Mailing address
13 HAMMERMILL LN, BLUFFTON, SC 29909-7875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23973
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750922894
NPI
IL
Enumeration date
09/30/2019
Last updated
02/14/2022
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