Organization

J.E. Terence Kavanagh,md,inc.

Psychiatry Physician in Warren, OH(View on Map)

Legal Business Name

J.E. Terence Kavanagh,md,inc.

NPI Number

1902115454

NPI Type

Organization

Enumeration Date

10/01/2010

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2660 SOUTH ST SE
2660 SOUTH ST SE

City

Warren
Warren

State

OH
OH

Postal Code

44483-6230
44483-6230

Country

US
US

Telephone Number

(330) 393-5544
(330) 393-5544

Authorized Official

Name

Mrs. Mary Kavanagh

Title or Position

OFFICE MANAGER

Telephone Number

(330) 393-5544

Identifiers

Identifier

0172085

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/26/2011

Provider Address

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Organization

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