John W Kavanaugh Jr.
MD | Pediatrics | Male
John W Kavanaugh Jr., MD is a Paw Paw, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John W Kavanaugh Jr. is
451 Health Pkwy, Suite E, Paw Paw, Michigan - 49079-8242. He can be contacted on phone at
269-655-3090 and fax number 269-655-0763.
John W Kavanaugh Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for John W Kavanaugh Jr. is
1609858844 which was assigned by NPPES on 15 Nov, 2005 and it was last updated on 16 Oct, 2014.
John W Kavanaugh Jr. license number is
4301405215 for Pediatrics (208000000X) in Michigan.
John W Kavanaugh Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John W Kavanaugh Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | John W Kavanaugh Jr. |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
John W Kavanaugh Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 451 Health Pkwy, Suite E
Paw Paw, MI, 49079-8242
United States |
|---|
| Phone Number : | 269-655-3090 |
|---|
| Fax Number : | 269-655-0763 |
|---|
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 : | 1609858844 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2005 |
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| Last Updated On : | 16 Oct, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John W Kavanaugh Jr. are as mentioned. Primary taxonomy code for John W Kavanaugh Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301405215 | MI |
Legacy Identifiers:
Other legacy medical identifiers of John W Kavanaugh Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 238601 | Other | MI | MEDICARE RURAL HEALTH CLINIC NUMBER |
| 4938480 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 451 Health Pkwy, Suite E
Paw Paw, MI, 49079-8242
United States |
|---|
| Phone Number : | 269-655-3090 |
|---|
| Fax Number : | 269-655-0763 |
|---|
Business Location:
Patients can refer following map for directions to
John W Kavanaugh Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.