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Individual

PETER VINCENT KAVANAGH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
98-01333
NC
2085R0202X
Diagnostic Radiology Physician
98-01333
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
98-01333
NC

Other

Enumeration date
01/05/2006
Last updated
09/11/2025
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