Kavenaugh, Angela Leigh

Kavenaugh, Angela Leigh is an individual health care provider with primary practice located at 3901 Beaubien Er Dept Children'S Hospital Of Mi, Detroit MI 48201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kavenaugh, Angela Leigh can be contacted via phone (313) 745-5260.

Contact Information

Primary practice address
3901 Beaubien Er Dept Children'S Hospital Of Mi Detroit MI 48201
Phone: (313) 745-5260
Fax: (313) 993-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101021517 Michigan

Profile Details

NPI number 1336428812
LBN Legal business name Kavenaugh, Angela Leigh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2011
Last updated Aug 7th, 2015 - about 11 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 1336428812 NPPES
West Virginia Other ED0251A WEST VIRGINIA EDUCATION LICENSE
West Virginia Other UO3116 WEST VIRGINIA EDUCATION LICENSE

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