Individual
DR. TIMOTHY B CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 W 135TH ST, SUITE 300, OVERLAND PARK, KS 66223-4844
(913) 897-9200
(913) 897-9233
Mailing address
6200 W 135TH ST, SUITE 300, OVERLAND PARK, KS 66223-4844
(913) 897-9200
(913) 897-9233
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0423515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17675163
BLUE CROSS BLUE SHIELD
KS
Enumeration date
02/06/2006
Last updated
10/16/2008
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