Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS LEE KAVANAUGH, PA-C
ActiveDOUGLAS LEE KAVANAUGH, PA-C is a Medical Physician Assistant healthcare provider located in BANGOR, Maine. NPI 1447201165 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BANGOR, ME
Registration Details
- NPI Number
- 1447201165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.10604816255 yrs)
- Last Updated
- Jan 12, 2016
- License
-
PA561 (ME)
Practice Information
- Address
-
1 NORTHEAST DREMMC - NORTHEAST CARDIOLOGY ASSOCIATESBANGOR, ME, 04401Browse ME providers · Browse ZIP 04401
- Phone
- 2072753800
- Fax
- 2072753803
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| NELSON E MEAKER | PA-C | 1497751812 |
| CORIANNE L O'DONNELL | PA-C | 1548259211 |
| SARAH E FOLSOM | PAC | 1275584989 |
| JOHN P RAYMOND | PA-C | 1285686923 |
| JAMES S CADDELL | PA-C | 1114979937 |
| CRAIG J PEDERSEN | PA-C | 1073566329 |
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.