Colin David Kavanaugh, MD is a student in an organized health care education training program in Belleville, WI with 3 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Colin David Kavanaugh, MD NPI is 1841871241. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2021
The provider's business location address is:
1121 BELLWEST BLVD
BELLEVILLE, WI
ZIP 53508-433
Phone: (608) 424-3384
Fax: (608) 424-6353
The NPI 1841871241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/16/2021 and was last updated on 3/15/2023.