Kavanaugh, Arthur S

Kavanaugh, Arthur S is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kavanaugh, Arthur S can be contacted via phone (318) 675-7737.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine Shreveport LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD.201536 Louisiana

Profile Details

NPI number 1366653016
LBN Legal business name Kavanaugh, Arthur S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Apr 28th, 2016 - about 9 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 1366653016 NPPES
Louisiana MEDICAID 07869

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