MR. KEVIN THOMAS KAVANAGH


Address: 402 Bogle St, Ste 310, Somerset, KY 42503
Phone: 6066797426

MR. KEVIN THOMAS KAVANAGH (NPI# 1558322503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558322503
Entity Type Individual
Full Name MR. KEVIN THOMAS KAVANAGH
Credential MD
Practice Address 402 Bogle St
Ste 310
Somerset
KY 42503
Mailing Address 402 Bogle St
Ste 3
Somerset
KY 42503
Practice Telephone 6066797426
Practice Fax Number 6066797745
Mailing Telephone 6066797426
Mailing Fax Number 6066797745
Enumeration Date 2006-03-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 28780 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64287808 05
KY ANTHEM BCBS 000000049894 01

Other Providers KEVIN KAVANAGH

NPI Name Taxonomy Address Enumeration
1215559042 Kevin Kavanagh Pharmacist 4077 Fifth Ave, San Diego, CA 92103-2105 2020-05-14

Office Location

Street Address 402 BOGLE ST
STE 310
City SOMERSET
State KY
Zip Code 42503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932192028 Donna Sue Nall Obstetrics & Gynecology 402 Bogle St, Suite #1, Somerset, KY 42503-2870 2005-08-24
1487079380 Womens Care of Somerset Corp Specialist 402 Bogle St, Suite 2, Somerset, KY 42503-2870 2014-02-28
1679861314 Womens Care of Somerset Corp Obstetrics & Gynecology 402 Bogle St, Suite 2, Somerset, KY 42503-2870 2011-07-15
1861536781 Donna S. Nall, Md, Psc Obstetrics & Gynecology 402 Bogle St, Ste #1, Somerset, KY 42503-2870 2007-02-16
1366539223 Eadens-grimball Internal Medicine Associates Nurse Practitioner 402 Bogle St, Ste 3, Somerset, KY 42503-2870 2006-10-10
1497840680 Tara R Horn Obstetrics & Gynecology 402 Bogle St, Suite 2, Somerset, KY 42503-2870 2006-10-04
1982703617 Southeast Kentucky Clinic Specialist 402 Bogle St, Suite 2, Somerset, KY 42503-2870 2006-09-21
1699878199 Somerset Cardiology Nurse Practitioner 402 Bogle St, Suite 2, Somerset, KY 42503-2870 2006-09-07
1265546139 Somerset Cardiology Specialist 402 Bogle St, Suite 2, Somerset, KY 42503-2870 2006-08-18
1144211541 Edward Allan Grimball Emergency Medicine 402 Bogle St, Ste 3, Somerset, KY 42503-2870 2005-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023669652 Carehere LLC Family Medicine Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 2019-09-25
1841859766 Armina Jo Hoeck Behavior Technician Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 2019-06-13
1548723042 Lisa Hunter Counselor 225 Ky 2227, Somerset, KY 42503 2019-04-11
1982171237 Bluegrass Hearing Clinic, LLC Audiologist 25 Medpark West, Suite 2, Somerset, KY 42503 2018-10-25
1780109116 Kentucky Diagnostic Ultrasound, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 324 Water Cliff Dr., Somerset, KY 42503 2017-08-07
1689115172 Lake Cumberland Physician Practices LLC Internal Medicine 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 2017-03-16
1811356892 Lake Cumberland Physician Practices, LLC Nurse Practitioner 27 Imaging Dr, Suite B, Somerset, KY 42503 2016-02-18
1730586447 Amy Molen Counselor 259 Parkers Mill Road, Somerset, KY 42503 2014-11-24
1841630654 Eastern Pulaski Rural Health Clinic,pllc Clinic/Center 31 Mark Shopville Rd, Somerset, KY 42503 2013-06-26
1881978807 Nathan S Fisher Counselor 600 Clifty St Ste 2, Somerset, KY 42503 2011-10-10
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184010415 Alisa Yamasaki Otolaryngology 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 2015-04-14
1487663944 Robert A. Frankenthaler Otolaryngology 651 S Center Ave Ste 201, Somerset, PA 15501-2811 2006-08-05
1336155944 Randall Elliott Dalton Otolaryngology 110 Hardin Lane, Suite 10, Somerset, KY 42503-3818 2006-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174029078 Michael Bryan Mullen Otolaryngology 358 Duke Rd, Lexington, KY 40502 2018-04-01
1609370683 Casey Michael Fitzgerald Otolaryngology 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 2018-03-22
1891227666 Kaitlin July O'brien Otolaryngology 740 South Limestone C 300, Lexington, KY 40536-0001 2017-03-31
1568993509 Christopher Rayle Otolaryngology 800 Rose St Rm C-236, Lexington, KY 40536 2017-03-22
1598127094 Nicole C Craker Otolaryngology University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 2016-03-23
1659755502 Ryan Neff Otolaryngology 740 S Limestone; C300, Lexington, KY 40536-0293 2015-07-09
1396126017 Adam Vanhorn Otolaryngology Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 2015-06-18
1386057818 Adiavni LLC Otolaryngology 280 Cumberland Trace Rd, Apt. 417, Bowling Green, KY 42103-9099 2014-06-02
1215366364 Larry Joe Hall Otolaryngology 790 North Dixie Suite 800, Elizabethtown, KY 42701 2013-11-08
1710321963 Caitlin Fiorillo Otolaryngology 740 South Limestone C300, Lexington, KY 40536-0001 2013-04-18
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Competitor

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City SOMERSET
Zip Code 42503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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