Individual
JOEL B KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17254
MS
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
17254
MS
208M00000X
Hospitalist Physician
17254
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124651
—
MS
05
—
03551501
—
MS
01
—
7927259
AETNA
MS
01
—
MEDICARE RR
110222271
MS
Enumeration date
08/31/2006
Last updated
11/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up