GAVIN GERALDS

LOUISVILLE, KY
NPI1962243972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  PA3458)
Enumeration Date2024-06-04
Last Update Date2024-10-14
Business Address
GAVIN GERALDS PA
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-446-8669
Mailing Address
GAVIN GERALDS PA
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490