Individual
DR. KEVIN M KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204-2349
(509) 838-7711
(509) 747-4664
Mailing address
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204-2349
(509) 838-7711
(509) 747-4664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M-6627
ID
207RC0000X
Cardiovascular Disease Physician
MD31738
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD00031738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213300
—
ID
01
—
M6627
IDAHO LICENSE
ID
01
—
MD00031738
WASHINGTON LICENSE
WA
Enumeration date
05/18/2006
Last updated
07/23/2025
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