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Individual

KRISTEN ELIZABETH KAVANAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
51221 SCHOENHERR RD STE 201, SHELBY TWP, MI 48315-2718
(586) 323-4450
(586) 323-4448
Mailing address
51221 SCHOENHERR RD STE 201, SHELBY TWP, MI 48315-2718
(586) 323-4450
(586) 323-4448

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015629
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4901604
MI
Enumeration date
06/05/2006
Last updated
03/05/2021
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