Organization
CUMBERLAND OTOLARYNGOLOGY CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN T KAVANAGH M.D. (PHYSICIAN)
(606) 679-7426
Entity
Organization
Contact information
Practice address
402 BOGLE ST STE 3, SOMERSET, KY 42503-2870
(606) 679-7426
(606) 679-7745
Mailing address
402 BOGLE ST STE 3, SOMERSET, KY 42503-2870
(606) 679-7426
(606) 679-7745
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65926917
—
KY
05
—
78901881
—
KY
Enumeration date
12/26/2006
Last updated
08/21/2007
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