Individual
DR. DIANA K CAVANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0467
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0467
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
27975
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044752
ANTHEM
KY
01
—
30001514
RAILROAD MEDICARE
KY
01
—
50006876
PASSPORT
KY
05
—
64279755
—
KY
Enumeration date
06/09/2005
Last updated
09/01/2015
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