Individual
MR. GARY D GIVENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 MEDICAL CENTER DRIVE, POWDERLY, KY 42367
(270) 377-1609
(270) 377-1682
Mailing address
1010 MEDICAL CENTER DRIVE, POWDERLY, KY 42367
(270) 377-1609
(270) 377-1682
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14968
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64149685
—
KY
Enumeration date
08/09/2005
Last updated
07/08/2007
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