Cavanaugh, Kenneth J
Cavanaugh, Kenneth J is an individual health care provider with primary practice located at 1551 Professional Ln Suite 200, Longmont CO 80501-6972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cavanaugh, Kenneth J can be contacted via phone (303) 772-1600.Contact Information
Primary practice address
1551 Professional Ln Suite 200
Longmont CO 80501-6972
Phone: (303) 772-1600
Fax: (303) 772-9317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 16429 | Colorado |
Profile Details
| NPI number | 1376571638 |
|---|---|
| LBN Legal business name | Cavanaugh, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376571638 | NPPES |
| Colorado | MEDICAID | 01164292 | |
| Colorado | Other | 16429 |
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