Individual provider · Type 1 NPI
Kenneth C. Kavanagh, ARNP
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1699825919
Active
Practice location
780 Albany St
Boston, MA 02118-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9200934 (FL) |
| Nurse Practitioner | 363L00000X | ARNP9200934 (FL) |
| Adult Health Nurse Practitioner | 363LA2200X | 213555 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 213555 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699825919
Kenneth C. Kavanagh, ARNP's National Provider Identifier is 1699825919, issued on Jan 11, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Dec 12, 2012.