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Mr. Michael P Kavanagh, CPO
Orthotist in Fort Benning, Georgia
NPI 1619032497

Michael P Kavanagh is a Orthotist based in Pine Mountain, GA. Michael P Kavanagh practices in Fort Benning, GA and has the professional credentials of CPO. The NPI Number for Michael P Kavanagh is 1619032497 and holds a License No. 34 (Georgia).

The current practice location address for Michael P Kavanagh is 6600 Van Aalst Blvd, Fort Benning, GA and can be reached out via phone at 762-408-1467.

Location: 6600 Van Aalst Blvd, Fort Benning, GA, 31822-5112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619032497
Provider Name
Michael P Kavanagh
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
6600 Van Aalst Blvd, Fort Benning, GA, 31822-5112
Phone Number
762-408-1467
Fax Number
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
836804665A 05 GA
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
Fort Benning
State
Georgia
Zip
31905-2102
Phone Number
762-408-1467
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
Fort Benning
State
Georgia
Zip
31905-2102
Phone Number
762-408-1467
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
34 (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
34 (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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