Individual
SCOTT A KAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7522
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08944
NE
363A00000X
Physician Assistant
Primary
0110009964
VA
Other
Enumeration date
09/19/2014
Last updated
10/08/2024
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