Individual
DOUGLAS LEE KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 NORTHEAST DR, EMMC - NORTHEAST CARDIOLOGY ASSOCIATES, BANGOR, ME 04401
(207) 275-3800
(207) 275-3803
Mailing address
43 WHITING HILL RD, BREWER, ME 04412
(207) 973-5035
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA561
ME
Other
Enumeration date
05/15/2006
Last updated
01/12/2016
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