Organization
FRONT RANGE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN C CAVANAUGH MD (OWNER MD)
(720) 494-9111
Entity
Organization
Contact information
Practice address
1325 DRY CREEK DR, SUITE 103, LONGMONT, CO 80503-7731
(720) 494-9111
(720) 494-9555
Mailing address
1325 DRY CREEK DR, SUITE 103, LONGMONT, CO 80503-7731
(720) 494-9111
(720) 494-9555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207YS0123X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91282888
—
CO
05
—
94320381
—
CO
Enumeration date
06/29/2007
Last updated
05/24/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up