Dr. Kevin Clifford Cavanaugh
Facial Plastic Surgeon
1325 Dry Creek Dr Suite 103
Longmont
, Colorado 80503-7731
Dr. Kevin Clifford Cavanaugh
Facial Plastic Surgeon
1325 Dry Creek Dr Suite 103
Longmont
, Colorado 80503-7731
(720) 494-9555
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kevin Clifford Cavanaugh
- 1325 Dry Creek Dr Suite 103
- Longmont, CO
- Zip : 80503-7731
- Fax : (720) 494-9555
- Phone : (720) 494-9111
Second Address
- Dr. Kevin Clifford Cavanaugh
- 1325 Dry Creek Dr Suite 103
- Longmont, CO
- Zip : 80503-7731
- Fax : (720) 494-9555
- Phone : (720) 494-9111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 39322 | CO |
National Provider Identifier
| NPI | 1275539843 |
|---|---|
| Provider Name | Dr. Kevin Clifford Cavanaugh |
| First Address | Longmont, CO 80503-7731 |
| Second Address | Longmont, CO 80503-7731 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 26/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 94320381 | (05) | CO |
| H43078 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.