MR. Michael P Kavanagh, CPO

NPI #1619032497 in Fort Moore, Georgia

Provider Information

NPI Number: 1619032497
Entity Type: Individual
Name: MR. Michael P Kavanagh, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CPO
Enumeration Date: Dec 22, 2006
Last Updated: Feb 4, 2025

Practice Location

Address: 6600 VAN AALST BLVD
City: Fort Moore
State: Georgia
ZIP Code: 31905-2102
Phone: (762) 408-1467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X
Orthotist	222Z00000X	Primary

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Organizations

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