Individual
DR. KURT EDWARD KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
8407 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-8100
(816) 420-8416
Mailing address
8407 N MAIN ST, KANSAS CITY, MO 64155-2426
(816) 420-8100
(816) 420-8416
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
014547
MO
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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