Thomas J Kavanaugh, CRNA
NPI #1235287509 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1235287509
- Entity Type
- Individual
- Name
- Thomas J Kavanaugh, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Oct 7, 2016
Practice Location
- Address
- 8901 W. LINCOLN AVE
- Address 2
- AURORA WEST ALLIS MEDICAL CENTER
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227
- Phone
- (414) 328-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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