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Kenneth C Kavanagh, ARNP
Psychiatric/Mental Health Nurse Practitioner in Boston, Massachusetts
NPI 1699825919

Kenneth C Kavanagh is a Psychiatric/Mental Health Nurse Practitioner based in Boston, MA and is specialized in Psychiatric/Mental Health. Kenneth C Kavanagh practices in Boston, MA and has the professional credentials of ARNP. The NPI Number for Kenneth C Kavanagh is 1699825919 and holds a License No. ARNP9200934 (Massachusetts).

The current practice location address for Kenneth C Kavanagh is 780 Albany St, Boston, MA and can be reached out via phone at 857-654-1600.

Location: 780 Albany St, Boston, MA, 02118-2524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699825919
Provider Name
Kenneth C Kavanagh
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
780 Albany St, Boston, MA, 02118-2524
Phone Number
857-654-1600
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305613900 05 FL
Y124U 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
780 Albany St
City
Boston
State
Massachusetts
Zip
02118-2524
Phone Number
857-654-1600
Fax Number
person
Provider Business Mailing Address Details
Address
780 Albany St
City
Boston
State
Massachusetts
Zip
02118-2524
Phone Number
857-654-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
213555 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
ARNP9200934 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
ARNP9200934 (Florida)
Definition
Definition to come...
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