Individual
DR. JOSEPH EDWARD TERENCE KAVANAGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2660 SOUTH ST SE, WARREN, OH 44483-6230
(330) 393-5544
(330) 393-5546
Mailing address
2660 SOUTH ST SE, WARREN, OH 44483-6230
(330) 393-5544
(330) 393-5546
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-03-3135
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172085
—
OH
Enumeration date
09/07/2005
Last updated
07/08/2007
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