Individual provider · Type 1 NPI

Peter Shaun Kavanaugh, DC

Chiropractor · Philadelphia, PA

NPI number 1154484111 Active

Practice location

3301 Ryan Ave
Philadelphia, PA 19136-4301

Call (215) 332-8686 Map

Fax (215) 332-8691

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1897 (PA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1154484111

Peter Shaun Kavanaugh, DC's National Provider Identifier is 1154484111, issued on Dec 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 7, 2012.