Individual
MICHAEL F. KAVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13914 SOUTHEASTERN PKWY, SUITE 201, FISHERS, IN 46037-7127
(317) 275-1999
(317) 275-1945
Mailing address
13914 SOUTHEASTERN PKWY, SUITE 201, FISHERS, IN 46037-7127
(317) 275-1999
(317) 275-1945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01033579
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
40514
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093732
ANTHEM PIN
IN
05
—
100088590
—
IN
01
—
4389953
AETNA PIN
IN
05
—
701446
—
AZ
Enumeration date
06/03/2006
Last updated
12/15/2017
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