Individual
DAVID WILLIAM KAVANAGH
Active
Individual
DAVID WILLIAM KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144315391
FACILITY NPI NUMBER
FL
01
—
GG9
BCBS FACILITY PROVIDER NO
FL
Enumeration date
06/11/2007
Last updated
07/09/2007
Update your record
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