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Individual
DR. PATRICK DESMOND KAVANAGH
Active
Individual
DR. PATRICK DESMOND KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101264898
VA
207R00000X
Internal Medicine Physician
25MA09668800
NJ
207R00000X
Internal Medicine Physician
Primary
ME96603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101264898
VIRGINIA STATE LICENSE
VA
01
—
022203
PUERTO RICO STATE LICENSE
PR
01
—
036145182
ILLINOIS STATE LICENSE
IL
01
—
04-41271
KANSAS STATE LICENSE
KS
01
—
078512
GEORGIA STATE LICENSE
GA
01
—
10800188
UTAT STATE LICENSE
UT
01
—
2019-01534
NORTH CAROLINA STATE LICENSE
NC
01
—
2019032474
MISSOURI STATE LICENSE
MO
01
—
25MA09668800
NEW JERSEY STATE LICENSE
NJ
01
—
308192
LOUISIANA STATE LICENSE
LA
01
—
31765
NEBRASKA STATE LICENSE
NE
01
—
35.136642
OHIO STATE LICENSE
OH
01
—
4301115326
MICHIGAN STATE LICENSE
MI
01
—
51762
SOUTH CAROLINA LICENSE
SC
01
—
57668
TENNESSEE
TN
01
—
61402
CONNECTICUT STATE LICENSE
CT
01
—
7206220
WISCONSON STATE LICENSE
WI
01
—
76171
MONTANA STATE LICENSE
MT
01
—
C154678
CALIFORNIA STATE LICENSE
CA
01
—
DR.0060459
COLORADO STATE LICENSE
CO
01
—
MD-20583
HAWAII STATE LICENSE
HI
01
—
MD.43069
STATE LICENSE
AL
01
—
MD462196
PENNSYLVANIA STATE LICENSE
PA
01
—
MD60947259
WASHINGTON STATE LICENSE
WA
01
—
R9508
TEXAS STATE LICENSE
TX
01
—
TL6006
WYOMING STATE LICENSE
WY
Enumeration date
01/23/2007
Last updated
02/11/2025
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