Kavanagh, Joseph A

Kavanagh, Joseph A is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kavanagh, Joseph A can be contacted via phone (864) 560-6522.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Fax: (888) 972-8644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13245 South Carolina

Profile Details

NPI number 1114984309
LBN Legal business name Kavanagh, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 27th, 2019 - about 6 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 1114984309 NPPES
South Carolina MEDICAID 132458
South Carolina MEDICAID 890590H

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