Individual provider · Type 1 NPI

Douglas Lee Kavanaugh, PA-C

Medical Physician Assistant · Bangor, ME

NPI number 1447201165 Active

Practice location

1 Northeast Dr, Emmc - Northeast Cardiology Associates
Bangor, ME 04401

Call (207) 275-3800 Map

Fax (207) 275-3803

Mailing address

43 Whiting Hill Rd
Brewer, ME 04412

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA561 (ME)

Medical Physician Assistant: Definition to come...

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About NPI 1447201165

Douglas Lee Kavanaugh, PA-C's National Provider Identifier is 1447201165, issued on May 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bangor, ME. The record was last updated on Jan 12, 2016.