| NPI | 1598820078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN T KAVANAGH Physician 606-679-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-08-21 |