Kavanagh, Michael Andrew

Kavanagh, Michael Andrew is an individual health care provider with primary practice located at 224-D Cornwall Street, Nw, Suite 204 , Leesburg VA 20176-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kavanagh, Michael Andrew can be contacted via phone (703) 777-3262.

Contact Information

Primary practice address
224-D Cornwall Street, Nw, Suite 204 Leesburg VA 20176-2700
Fax: (703) 777-3365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101037999 Virginia

Profile Details

NPI number 1588655740
LBN Legal business name Kavanagh, Michael Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 20th, 2024 - about last year

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 1588655740 NPPES
Virginia MEDICAID 30016734840001
Virginia MEDICAID 1588655740

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