Cavanah, Diana K

Cavanah, Diana K is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Cavanah, Diana K can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Phone: (270) 781-5111
Fax: (270) 780-0467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 27975 Kentucky

Profile Details

NPI number 1699779561
LBN Legal business name Cavanah, Diana K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699779561 NPPES
Kentucky Other 50006876 PASSPORT
Kentucky Other 000000044752 PASSPORT
Kentucky Other 30001514 PASSPORT
Kentucky MEDICAID 64279755 PASSPORT

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