Search › Indiana › 247ZC0005X
Kenneth Gavina, PHD
NPI 1326747155 · on the registry since 2023
Practice
- Address
- 350 W 11th St
Indianapolis, IN 46202 - Phone
- (317) 491-6000
- Fax
- (317) 491-6534
- Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 247ZC0005X
247ZC0005X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana