Kavanaugh, Timothy

Kavanaugh, Timothy is an individual health care provider with primary practice located at 10200 N 92Nd St Ste 225 , Scottsdale AZ 85258-4536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kavanaugh, Timothy can be contacted via phone (480) 697-4824.

Contact Information

Primary practice address
10200 N 92Nd St Ste 225 Scottsdale AZ 85258-4536
Phone: (480) 697-4824
Fax: (480) 697-4825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4942 Alaska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 58251 Arizona

Profile Details

NPI number 1053304766
LBN Legal business name Kavanaugh, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Nov 21st, 2022 - about 4 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 1053304766 NPPES
Arizona MEDICAID 997601
Arizona Other Z228811

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