NPI
Michael P Kavanagh
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- CPO
- Type
- Individual
- Enumeration date
- 2006-12-22
- Last updated
- 2025-02-04
Specialties
Licenses
- License GA
- 34
- License GA
- 34
Location
- Practice location
- 6600 Van Aalst Blvd
- City
- Fort Moore GA
- Postal code
- 31905-2102
- Phone
- (762) 408-1467
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Fort Moore, GA. 175 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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