Kavanaugh, Scott

Kavanaugh, Scott is an individual health care provider with primary practice located at 801 Nw Saint Mary Dr Ste 102 , Blue Springs MO 64014-2539. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kavanaugh, Scott can be contacted via phone (816) 229-6622.

Contact Information

Primary practice address
801 Nw Saint Mary Dr Ste 102 Blue Springs MO 64014-2539
Phone: (816) 229-6622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1689790529
LBN Legal business name Kavanaugh, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1689790529 NPPES
Kansas Other 2240 LICENSE#

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