Cavanaugh, Timothy B

Cavanaugh, Timothy B is an individual health care provider with primary practice located at 6200 W 135Th St Suite 300, Overland Park KS 66223-4844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cavanaugh, Timothy B can be contacted via phone (913) 897-9200.

Contact Information

Primary practice address
6200 W 135Th St Suite 300 Overland Park KS 66223-4844
Phone: (913) 897-9200
Fax: (913) 897-9233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0423515 Kansas

Profile Details

NPI number 1083686729
LBN Legal business name Cavanaugh, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Oct 16th, 2008 - about 16 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 1083686729 NPPES
Kansas Other 17675163 BLUE CROSS BLUE SHIELD

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