Kim Matthew Kavanaugh, CDC I is a
Counselor - Addiction (substance Use Disorder) based in Sterling, Alaska. Kim Matthew Kavanaugh is licensed to practice in * (Not Available) (license number ) and his current practice location is
34090 Arabian Court, Sterling, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 260-7243.
NPI number for Kim Matthew Kavanaugh is 1750946869 and his current mailing address is Po Box 263, Sterling, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750946869.
Healthcare Provider's Profile
| Full Name | Kim Matthew Kavanaugh |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 34090 Arabian Court, Sterling, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750946869
- Provider Enumeration Date: 05/03/2019
- Last Update Date: 05/03/2019
Medical Identifiers
Medical identifiers for Kim Matthew Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750946869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Matthew Kavanaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kim Matthew Kavanaugh, CDC I
Po Box 263,
Sterling, AK 99672-0263
Ph: (907) 260-7243 | Kim Matthew Kavanaugh, CDC I
34090 Arabian Court,
Sterling, AK 99672
Ph: (907) 260-7243 |
Reviews and Comments