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Colin David Kavanaugh, MD
Student in an Organized Health Care Education/Training Program in Belleville, Wisconsin
NPI 1841871241

Colin David Kavanaugh is a Student in an Organized Health Care Education/Training Program based in Belleville, WI. Colin David Kavanaugh practices in Belleville, WI and has the professional credentials of MD. The NPI Number for Colin David Kavanaugh is 1841871241 and holds a License No. 77586 (Wisconsin).

The current practice location address for Colin David Kavanaugh is 1121 Bellwest Blvd, Belleville, WI and can be reached out via phone at 608-424-3384 and via fax at 608-424-6353.

Location: 1121 Bellwest Blvd, Belleville, WI, 53508-9433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841871241
Provider Name
Colin David Kavanaugh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1121 Bellwest Blvd, Belleville, WI, 53508-9433
Phone Number
608-424-3384
Fax Number
608-424-6353
Provider Enumeration Date
04/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1121 Bellwest Blvd
City
Belleville
State
Wisconsin
Zip
53508-9433
Phone Number
608-424-3384
Fax Number
608-424-6353
person
Provider Business Mailing Address Details
Address
1121 Bellwest Blvd
City
Belleville
State
Wisconsin
Zip
53508-9433
Phone Number
608-424-3384
Fax Number
608-424-6353
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
77586 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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