Cavanaugh, Keith

Cavanaugh, Keith is an individual health care provider with primary practice located at 2530 Chicago Ave S Suite 400, Minneapolis MN 55404-4387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Cavanaugh, Keith can be contacted via phone (612) 813-3300.

Contact Information

Primary practice address
2530 Chicago Ave S Suite 400 Minneapolis MN 55404-4387
Phone: (612) 813-3300
Fax: (612) 813-3349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 40154 Colorado
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 41590 Minnesota

Profile Details

NPI number 1497830145
LBN Legal business name Cavanaugh, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 2nd, 2011 - about 13 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 1497830145 NPPES
Colorado MEDICAID 38376733

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