Individual
PATRICK B. KAVANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 5TH ST NW, BEMIDJI, MN 56601-2914
(218) 751-4144
Mailing address
619 5TH ST NW, BEMIDJI, MN 56601-2914
(218) 751-4144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19570
MN
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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