Individual
CATHAL KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
46 FAIRVIEW AVE, SUITE 111, SKOWHEGAN, ME 04976-1481
(207) 474-0905
(207) 474-6930
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 858-8353
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1818
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104917624
—
ME
Enumeration date
09/28/2006
Last updated
03/17/2017
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