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Contact Information

KEVIN M KAVANAUGH, MD
122 W 7TH AVE
SUITE 310
SPOKANE, WA99204-2349
 Phone: 509-838-7711
 Fax: 509-747-4664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEVIN M KAVANAUGH · (Male)

NPI # 1205889433
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 07/23/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • ID License # M-6627
  • WA License # MD00031738
  • WA License # MD31738
  • ID Medicaid 003213300
  • ID Other M6627 IDAHO LICENSE
  • WA Other MD00031738 WASHINGTON LICENSE
Hospital affiliation(s)
  • BENEWAH COMMUNITY HOSPITAL - (Critical Access)
    229 SOUTH 7TH STREET
    ST MARIES, ID 83861
  • CLEARWATER VALLEY HOSPITAL & CLINICS - (Critical Access)
    301 CEDAR STREET
    OROFINO, ID 83544
  • GRITMAN MEDICAL CENTER - (Critical Access)
    700 SOUTH MAIN STREET
    MOSCOW, ID 83843
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • SYRINGA GENERAL HOSPITAL - (Critical Access)
    607 W MAIN STREET
    GRANGEVILLE, ID 83530
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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