| Mr Kevin Thomas Kavanagh, MD | |
|
402 Bogle St, Ste 310, Somerset, KY 42503 | |
| (606) 679-7426 | |
| (606) 679-7745 |
| Full Name | Mr Kevin Thomas Kavanagh |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 402 Bogle St, Somerset, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558322503 | NPI | - | NPPES |
| 000000049894 | Other | KY | ANTHEM BCBS |
| 64287808 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 28780 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Thomas Kavanagh, MD 402 Bogle St, Ste 3, Somerset, KY 42503 Ph: (606) 679-7426 | Mr Kevin Thomas Kavanagh, MD 402 Bogle St, Ste 310, Somerset, KY 42503 Ph: (606) 679-7426 |
Dr. Randall Elliott Dalton, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 110 Hardin Lane, Suite 10, Somerset, KY 42503 Phone: 606-451-3890 Fax: 606-451-3896 | |
Travis Hamilton Denna, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Way, Somerset, KY 42503 Phone: 606-451-3890 Fax: 606-451-3896 |