JOSEPH HIGGINS KAVANAUGH

TULSA, OK
NPI1093558371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-06-14
Last Update Date2024-06-14
Business Address
JOSEPH HIGGINS KAVANAUGH
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 913-617-1917
Mailing Address
JOSEPH HIGGINS KAVANAUGH
7540 E 158TH ST S
BIXBY, OK 74008-2786
Phone number: 913-617-1917