Cavanah, Stephen Fw

Cavanah, Stephen Fw is an individual health care provider with primary practice located at 2355 Poplar Level Rd Ste.301, Louisville KY 40217-1395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Cavanah, Stephen Fw can be contacted via phone (502) 636-0406.

Contact Information

Primary practice address
2355 Poplar Level Rd Ste.301 Louisville KY 40217-1395
Phone: (502) 636-0406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23372 Kentucky

Profile Details

NPI number 1427045723
LBN Legal business name Cavanah, Stephen Fw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2005
Last updated Nov 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427045723 NPPES
Kentucky Other 791023 ANTHEM-NCMA
Kentucky Other K072160 ANTHEM-NCMA
Kentucky MEDICAID 201130560 ANTHEM-NCMA
Kentucky MEDICAID 7100222610 ANTHEM-NCMA

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