PHILIP RICHARD KAVANAGH

SOUTH BEND, IN
NPI1174600555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  02002062A)
Enumeration Date2006-11-01
Last Update Date2010-02-02
Business Address
-- PHILIP RICHARD KAVANAGH DO
615 N MICHIGAN ST
SOUTH BEND, IN 46601-1033
Phone number: 574-647-7459
Mailing Address
-- PHILIP RICHARD KAVANAGH DO
3355 DOUGLAS RD SUITE 300
SOUTH BEND, IN 46635-1781
Phone number:
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