Colin David Kavanaugh, MD

NPI #1841871241 in Belleville, Wisconsin

Provider Information

NPI Number: 1841871241
Entity Type: Individual
Name: Colin David Kavanaugh, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Apr 16, 2021
Last Updated: Mar 15, 2023

Practice Location

Address: 1121 BELLWEST BLVD
City: Belleville
State: Wisconsin
ZIP Code: 53508-9433
Phone: (608) 424-3384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

Additional Practice Locations

515 22nd Ave

Monroe, WI, 53566-1569

(608) 324-1000

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