Individual provider · Type 1 NPI

Kavanagh-Faye Marie Bushnell, DO

Military Health Care Provider · Portsmouth, VA

NPI number 1689421364 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Call (757) 953-5000 Map

Mailing address

12204 Wedgefield Dr
Grand Island, FL 32735-8498

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1689421364

Kavanagh-Faye Marie Bushnell, DO's National Provider Identifier is 1689421364, issued on May 1, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on May 1, 2024.