Kavanaugh, Thomas J

Kavanaugh, Thomas J is an individual health care provider with primary practice located at 8901 W. Lincoln Ave Aurora West Allis Medical Center, West Allis WI 53227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kavanaugh, Thomas J can be contacted via phone (414) 328-6000.

Contact Information

Primary practice address
8901 W. Lincoln Ave Aurora West Allis Medical Center West Allis WI 53227
Phone: (414) 328-6000
Fax: (414) 328-8536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1154-33 Wisconsin

Profile Details

NPI number 1235287509
LBN Legal business name Kavanaugh, Thomas J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Oct 7th, 2016 - about 8 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 1235287509 NPPES
Wisconsin Other KAVANTHO MERCYCARE
Wisconsin MEDICAID 43284100 MERCYCARE

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