Mr. Michael P Kavanagh is a Fort Benning, Georgia based Prosthetics. Active license number of Mr. Michael P Kavanagh is 34 for Orthotics in Georgia. His current practice location is 6600 Van Aalst Blvd, Fort Benning. Patients can reach him at 762-408-1467. Mr. Michael P Kavanagh is CPO in Prosthetics and his NPI number (Unique professional ID assigned by NPPES) is 1619032497. Mr. Michael P Kavanagh 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 appropriate treatment plan, implement the treatment plan and provide follow-up care.
Complete Profile:
Mr. Michael P Kavanagh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Prosthetics
Credentials:
CPO
Gender:
Male
Practice Address:
6600 Van Aalst Blvd, Fort Benning, Georgia, 31905-2102
Phone:
762-408-1467
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1619032497
NPI Enumeration Date:
22 Dec, 2006
NPI Last Update On:
17 Sep, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael P Kavanagh are as mentioned below.
License Number
Specialization
State
Status
34
Orthotist
Georgia
Primary
34
Prosthetics
Georgia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Michael P Kavanagh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
836804665A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
125 Perrys Mill Rd, Pine Mountain, Georgia
Zip:
31822-5112
Phone Number:
706-663-9715
Fax Number:
770-683-4872
Patients can reach Mr. Michael P Kavanagh at 6600 Van Aalst Blvd, Fort Benning, Georgia or can call to book an appointment on 762-408-1467. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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