Kavanagh, Joel B

Kavanagh, Joel B is an individual health care provider with primary practice located at 1650 Carrol Dr , Biloxi MS 39531-4301. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kavanagh, Joel B can be contacted via phone (228) 206-4312.

Contact Information

Primary practice address
1650 Carrol Dr Biloxi MS 39531-4301
Phone: (228) 206-4312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17254 Mississippi
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 17254 Mississippi
Other Service Providers / Specialist 174400000X 17254 Mississippi

Profile Details

NPI number 1740391390
LBN Legal business name Kavanagh, Joel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 9th, 2022 - about 2 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 1740391390 NPPES
Mississippi MEDICAID 03551501
Mississippi Other MEDICARE RR
Mississippi Other 7927259
Mississippi MEDICAID 0124651

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