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Individual

DR. MICHAEL KAVKEWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH. D.

Contact information

Practice address
6727 HERITAGE BUSINESS CT, SUITE 724, CHATTANOOGA, TN 37421-7015
(423) 314-1176
Mailing address
103 TUXEDO CIR, CHATTANOOGA, TN 37411-4618

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
864
GA
103TC1900X
Counseling Psychologist
P001108
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00389914D
GA
01
0090222
BCBS-TN PROVIDER ID
TN
Enumeration date
01/09/2007
Last updated
09/11/2025
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