Individual provider · Type 1 NPI

Philip Richard Kavanagh, DO

Emergency Medicine Physician · South Bend, IN

NPI number 1174600555 Active

Practice location

615 N Michigan St
South Bend, IN 46601-1033

Fax (574) 647-3658

Mailing address

3355 Douglas Rd, Suite 300
South Bend, IN 46635-1781

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X02002062A (IN)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1174600555

Philip Richard Kavanagh, DO's National Provider Identifier is 1174600555, issued on Nov 1, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in South Bend, IN. The record was last updated on Feb 2, 2010.