DR. KENNETH KAVANAUGH, DO
Family Medicine
Active
Individual
NPI: 1104819697
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 036077591 (IL) |
Frequently Asked Questions
NPI 1104819697 is the National Provider Identifier for DR. KENNETH KAVANAUGH, DO, a Family Medicine provider located in Sandwich, IL. This NPI was enumerated on August 30, 2005.
DR. KENNETH KAVANAUGH, DO practices at 1 E COUNTYLINE RD, Sandwich, IL 60548.
Quick Facts
- NPI
- 1104819697
- Type
- Individual
- Enumerated
- Aug 30, 2005
- Last Updated
- Mar 2, 2021
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