person
Kenneth Christopher Gavina, PHD
Clinical Laboratory Director (Non-physician) in Indianapolis, Indiana
NPI 1326747155

Kenneth Christopher Gavina is a Clinical Laboratory Director (Non-physician) based in Indianapolis, IN and is specialized in Clinical Laboratory Director, Non-physician. Kenneth Christopher Gavina practices in Indianapolis, IN and has the professional credentials of PHD. The NPI Number for Kenneth Christopher Gavina is 1326747155 and holds a License No. (Indiana).

The current practice location address for Kenneth Christopher Gavina is 350 W 11Th St, Indianapolis, IN and can be reached out via phone at 317-491-6000 and via fax at 317-491-6534. You can also correspond with Kenneth Christopher Gavina through the mailing address at 350 W 11TH ST, INDIANAPOLIS, IN - 46202-4108 (mailing address contact number: 317-491-6000).

Location: 350 W 11Th St, Indianapolis, IN, 46202-4108
person
Provider Profile Details
NPI Number
1326747155
Provider Name
Kenneth Christopher Gavina
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
350 W 11Th St, Indianapolis, IN, 46202-4108
Phone Number
317-491-6000
Fax Number
317-491-6534
Provider Enumeration Date
03/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 W 11Th St
City
State
Zip
46202-4108
Phone Number
317-491-6000
Fax Number
317-491-6534
person
Provider Business Mailing Address Details
Address
350 W 11Th St
City
State
Zip
46202-4108
Phone Number
317-491-6000
Fax Number
317-491-6534
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
(Indiana)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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