Patricia L Kavanagh, MD
Pediatrics in Boston, Massachusetts
1619909140- Practice location
- 850 Harrison Ave, Yacc5, Boston, MA 02118-4001
- Phone
- 617-414-5946
- Fax
- 617-414-4541
- Last updated
- December 3, 2021
Patricia L Kavanagh is a Pediatrics based in Boston, MA. Patricia L Kavanagh practices in Boston, MA and has the professional credentials of MD. The NPI Number for Patricia L Kavanagh is 1619909140 and holds a License No. 229930 (MA). The current practice location address for Patricia L Kavanagh is 850 Harrison Ave, Yacc5, Boston, MA 02118-4001 and can be reached out via phone at 617-414-5946 and via fax at 617-414-4541.
Provider Profile Details
- NPI Number
- 1619909140
- Provider Name
- Patricia L Kavanagh
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 850 Harrison Ave, Yacc5, Boston, MA 02118-4001
- Phone Number
- 617-414-5946
- Fax Number
- 617-414-4541
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 7, 2006
- Last Update Date
- December 3, 2021
- Certification Date
- December 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 850 Harrison Ave
Yacc5
Boston, MA 02118-4001 - City
- Boston
- State
- Massachusetts
- Zip
- 02118-4001
- Phone Number
- 617-414-5946
- Fax Number
- 617-414-4541
Provider Business Mailing Address Details
- Address
- 366 Shrewsbury St
Worcester, MA 01604-4647 - City
- Worcester
- State
- MA
- Zip
- 01604-4647
- Phone Number
- 508-595-2700
License Information
- License Number
- 229930
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Boston, MA
View all Pediatrics providers in Boston →Frequently Asked Questions
What is the NPI number of Patricia L Kavanagh, MD?
The NPI number of Patricia L Kavanagh, MD is 1619909140. It was assigned on July 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Patricia L Kavanagh, MD?
Patricia L Kavanagh, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 229930.
Where does Patricia L Kavanagh, MD practice?
The practice location is 850 Harrison Ave, Yacc5, Boston, MA 02118-4001. The office can be reached at 617-414-5946 (phone) or 617-414-4541 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619909140 directly on the NPPES registry website.