Individual
BARRY L KAVANAUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PA
Contact information
Practice address
1110 SEVEN LAKES DR, WEST END, NC 27376-9756
(910) 673-3937
(910) 673-3266
Mailing address
PO BOX 839, WEST END, NC 27376-0839
(910) 673-3937
(910) 673-3266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1295
NC
Other
Enumeration date
05/05/2006
Last updated
10/07/2020
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