Individual
SHAWN KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7860 QUIVIRA RD, LENEXA, KS 66216-3322
(913) 962-8300
Mailing address
4913 LONE ELM, SHAWNEE, KS 66226-2417
(913) 322-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-01192
LICENSE#
KS
Enumeration date
08/29/2006
Last updated
07/08/2007
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