Individual
MICHAEL ANDREW KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224-D CORNWALL STREET, NW, SUITE 204, LEESBURG, VA 20176-2700
(703) 777-3262
(703) 777-3365
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101037999
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588655740
—
VA
05
—
30016734840001
—
VA
Enumeration date
11/04/2005
Last updated
02/20/2024
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