Dr. Michael Kavkewitz PH. D.
Full Name
Dr. Michael Kavkewitz PH. D.
NPI Number
1598814394
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/09/2007
Specialties
(Taxonomies)Licenses
State
Georgia
Tennessee
License Number
864
P001108
Contact
Information
Purpose
Mailing
Location
Address
103 TUXEDO CIR
6727 HERITAGE BUSINESS CT
City
Chattanooga
Chattanooga
State
TN
TN
Postal Code
37411-4618
37421-7015
Country
US
US
Telephone Number
N/A
(423) 314-1176
Identifiers
Identifier
0090222
00389914D
Identifier State
TN
GA
Identifier Issuer
BCBS-TN PROVIDER ID
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007