Kenneth Kavanaugh, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: August 30, 2005

Quick Facts

NPI Number
1104819697
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(815) 786-2722
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1104819697)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 30, 2005)
Data source: CMS NPPES

Provider Overview

KENNETH KAVANAUGH, DO is a Family Medicine provider based in Sandwich, IL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104819697
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateAugust 30, 2005

Practice Location

CitySandwich
StateIL
ZIP Code60548-2178
Phone(815) 786-2722

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateIL

Mailing Address

CitySandwich
StateIL
ZIP Code60548-2178
Phone(815) 786-2722
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104819697 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104819697for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104819697 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Kenneth Kavanaugh's NPI number?
Kenneth Kavanaugh's NPI number is 1104819697, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kenneth Kavanaugh's NPI currently active?
Yes, Kenneth Kavanaugh's NPI status is Active as of the latest CMS NPPES database updates.
What does Kenneth Kavanaugh specialize in?
Kenneth Kavanaugh specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Kenneth Kavanaugh practice?
Kenneth Kavanaugh practices in Sandwich, IL 60548-2178.
When was Kenneth Kavanaugh's NPI issued?
Kenneth Kavanaugh's NPI was issued on August 30, 2005.
What is Kenneth Kavanaugh's provider type?
Kenneth Kavanaugh is registered as an Individual Provider under CMS NPI Type 1.