Individual
SCOTT KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 N 7 HWY, BLUE SPRINGS, MO 64014-2425
(816) 229-6622
Mailing address
213 SE SARATOGA DR, BLUE SPRINGS, MO 64014-5527
(816) 572-2988
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
02240
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02240
NON MEDICARE
MO
Enumeration date
03/22/2007
Last updated
02/19/2025
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