Individual
DR. KRISTIN ERIN KAVANAGH
Active
Individual
DR. KRISTIN ERIN KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.131057
OH
2085R0204X
Vascular & Interventional Radiology Physician
35.131057
OH
2085U0001X
Diagnostic Ultrasound Physician
35.131057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013028506
STATE MEDICAL LICENSE
MO
01
—
35.131057
STATE MEDICAL LICENSE
OH
Enumeration date
08/12/2011
Last updated
10/05/2021
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