Timothy Kavanaugh MD

NPI 1053304766 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1053304766
Gender Male
Enumeration Date 08/26/2005
Last Updated 02/29/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
3801 LAKE OTIS PKWY STE 300
ANCHORAGE AK, 99508-5234, US
Phone (907) 562-2277
Fax (907) 563-3460
Business Location
3801 LAKE OTIS PKWY STE 300
ANCHORAGE AK, 99508-5234, US
Phone (907) 562-2277
Fax (907) 563-3460
Toxanomy
Taxonomy Code 207X00000X
License State Alaska
License Number 4942
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According to our database, Dr. Timothy Kavanaugh MD NPI is 1053304766, taxonomy code is 207X00000X and license number is 4942, license state is located at Alaska. Timothy Kavanaugh MD physically located at 3801 Lake Otis Pkwy Ste 300, Anchorage AK, 99508-5234. NPI Number Timothy Kavanaugh MD has the Individual type.

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1053304766 NPI number is provided on an as is basis without warranty of any kind. 1053304766 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Kavanaugh MD are for informational purposes only.