Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH J KAVANAUGH, DO
ActiveDR. KENNETH J KAVANAUGH, DO is a Family Medicine healthcare provider located in SANDWICH, Illinois. NPI 1104819697 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANDWICH, IL
Registration Details
- NPI Number
- 1104819697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2005 (20.958223045199 yrs)
- Last Updated
- Mar 2, 2021
- License
-
036077591 (IL)
Practice Information
- Address
-
1 E COUNTYLINE RDSANDWICH, IL, 605482178Browse IL providers · Browse ZIP 60548
- Phone
- 8157862722
- Fax
- 8157866840
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SANDWICH, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARIA DANA SUTKUS | DO | 1447243100 |
| DR. DANIEL D GAUTHIER | DO | 1740273499 |
| DR. ERIC J JANOTA | DO | 1659364305 |
| DR. JOHN R GLEASON | MD | 1912990532 |
| DR. MARTIN PAUL BRAUWEILER | M.D. | 1023059177 |
| ERIK DAVID ENGLEHART | M.D. | 1679581367 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.