Cavanaugh, Kevin Clifford

Cavanaugh, Kevin Clifford is an sole proprietor health care provider with primary practice located at 1325 Dry Creek Dr Suite 103, Longmont CO 80503-7731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Cavanaugh, Kevin Clifford can be contacted via phone (720) 494-9111.

Contact Information

Primary practice address
1325 Dry Creek Dr Suite 103 Longmont CO 80503-7731
Phone: (720) 494-9111
Fax: (720) 494-9555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 39322 Colorado

Profile Details

NPI number 1275539843
LBN Legal business name Cavanaugh, Kevin Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Oct 26th, 2015 - about 10 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 1275539843 NPPES
Colorado MEDICAID 94320381

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