Michael P Kavanagh in Fort Benning - Prosthetist
Michael P Kavanagh - NPI 1619032497
Michael P Kavanagh is a Prosthetist in Fort Benning, Georgia. Michael P Kavanagh practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for Michael P Kavanagh is 1619032497. The last update date is 2019-09-17.
Michael P Kavanagh's current location address is 6600 Van Aalst Blvd, Fort Benning, Georgia. You can contact this provider via phone number 7624081467. The mailing address for Michael P Kavanagh is 6600 Van Aalst Blvd, Fort Benning, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael P Kavanagh |
|---|---|
| Address | 6600 Van Aalst Blvd, Fort Benning, Georgia |
| Phone Number | 7624081467 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CPO |
NPI Number Detail
| NPI Number | 1619032497 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2019-09-17 |
Provider Mailing Address Detail
| Address | 6600 Van Aalst Blvd |
|---|---|
| City | Fort Benning |
| State | Georgia (GA) |
| Post Code | 319052102 |
| Phone Number | 7624081467 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetist |
|---|---|
| Taxonomy | 224P00000X |
| Licence No | 34 |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 836804665A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael P Kavanagh by the Centers for Medicare & Medicaid Services?
The Michael P Kavanagh has been assigned the NPI (National Provider Identifier) 1619032497. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael P Kavanagh is physically located?
The Michael P Kavanagh is physically situated at the following address: 6600 Van Aalst Blvd, Fort Benning, GA, 319052102.
What is Michael P Kavanagh's area of expertise and its corresponding taxonomy classification?
The Michael P Kavanagh's field of specialization is Prosthetist, and it falls under the taxonomy code 224P00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1619032497 assigned to Michael P Kavanagh?
The Michael P Kavanagh was issued its 1619032497 on 2006-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael P Kavanagh most recently updated or revised?
The information pertaining to Michael P Kavanagh, including its address, specialty, and other relevant details, was last updated or revised on 2019-09-17.
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