Individual
DR. KIMBERLY KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 TULANE AVE, #8055, NEW ORLEANS, LA 70112-2632
(504) 988-7829
(504) 988-4264
Mailing address
1430 TULANE AVE, #8055, NEW ORLEANS, LA 70112-2632
(504) 988-7829
(504) 988-8017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
303828
LA
2084P0800X
Psychiatry Physician
303828
LA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
303828
LA
Other
Enumeration date
03/21/2013
Last updated
10/02/2017
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