Individual
DR. KEVIN JAMES KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2901 W BELTLINE HWY STE 301, MADISON, WI 53713-4228
(630) 885-2563
Mailing address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(480) 860-7889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5075-57
WI
103TC0700X
Clinical Psychologist
PSY.0005986
CO
Other
Enumeration date
08/30/2016
Last updated
12/05/2024
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