Douglas Lee Kavanaugh in Brewer - Medical
Douglas Lee Kavanaugh - NPI 1447201165
Douglas Lee Kavanaugh is a Medical in Brewer, Maine. Douglas Lee Kavanaugh practices all healthcare services and medical treatments related to Medical. The NPI Number for Douglas Lee Kavanaugh is 1447201165. The last update date is 2016-01-12.
Douglas Lee Kavanaugh's current location address is 43 Whiting Hill Rd, Brewer, Maine. You can contact this provider via phone number 2079735035. The mailing address for Douglas Lee Kavanaugh is 43 Whiting Hill Rd, Brewer, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Lee Kavanaugh |
|---|---|
| Address | 43 Whiting Hill Rd, Brewer, Maine |
| Phone Number | 2079735035 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1447201165 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2016-01-12 |
Provider Mailing Address Detail
| Address | 43 Whiting Hill Rd |
|---|---|
| City | Brewer |
| State | Maine (ME) |
| Post Code | 4412 |
| Phone Number | 2079735035 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA561 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Douglas Lee Kavanaugh's unique identification number?
The Douglas Lee Kavanaugh has been assigned the NPI (National Provider Identifier) Number 1447201165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Douglas Lee Kavanaugh located?
The Douglas Lee Kavanaugh is located at 43 Whiting Hill Rd, Brewer, ME 4412.
What is the Douglas Lee Kavanaugh's specialty and taxonomy code?
The Douglas Lee Kavanaugh's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did Douglas Lee Kavanaugh receive its 1447201165 assignment?
The Douglas Lee Kavanaugh was assigned its 1447201165 on 2006-05-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Douglas Lee Kavanaugh's details last updated?
The information pertaining to the Douglas Lee Kavanaugh, including its address, specialty, and other details, was most recently updated on 2016-01-12.