Kevin Clifford Cavanaugh in Longmont - Facial Plastic Surgery

Kevin Clifford Cavanaugh - NPI 1275539843

Kevin Clifford Cavanaugh is a Facial Plastic Surgery in Longmont, Colorado. Kevin Clifford Cavanaugh practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Kevin Clifford Cavanaugh is 1275539843. The last update date is 2015-10-26.

Kevin Clifford Cavanaugh's current location address is 1325 Dry Creek Dr, Longmont, Colorado. You can contact this provider via phone number 7204949111 and fax number 7204949555. The mailing address for Kevin Clifford Cavanaugh is 1325 Dry Creek Dr, Longmont, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Clifford Cavanaugh
Address 1325 Dry Creek Dr, Longmont, Colorado
Phone Number 7204949111
Fax Number 7204949555
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1275539843
Provider Enumeration Date 2005-06-28
Last Updated Date 2015-10-26

Provider Mailing Address Detail

Address 1325 Dry Creek Dr
City Longmont
State Colorado (CO)
Post Code 805037731
Phone Number 7204949111
Fax Number 7204949555

Provider's Primary Taxonomy Detail

Speciality Facial Plastic Surgery
Taxonomy 207Ys0123X
Licence No 39322
Definition:
An otolaryngologist who specializes in facial plastic surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
94320381 CO --

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FAQs about Kevin Clifford Cavanaugh

What is the unique identification code assigned to Kevin Clifford Cavanaugh by the Centers for Medicare & Medicaid Services?

The Kevin Clifford Cavanaugh has been issued the NPI (National Provider Identifier) 1275539843. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kevin Clifford Cavanaugh is physically located?

The Kevin Clifford Cavanaugh is situated at the following address: 1325 Dry Creek Dr, Longmont, CO 805037731.

What is Kevin Clifford Cavanaugh's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kevin Clifford Cavanaugh is Facial Plastic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Ys0123X.

When was the Kevin Clifford Cavanaugh's 1275539843 issued?

The Kevin Clifford Cavanaugh's 1275539843 was issued on 2005-06-28.

As of what date was the information pertaining to Kevin Clifford Cavanaugh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kevin Clifford Cavanaugh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-10-26.

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