DR. KIMBERLY THERESA KAVANAGH (NPI# 1356566145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356566145 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY THERESA KAVANAGH |
| Credential | DMD LAC |
| Practice Address |
566 Mitchell Drive Los Osos CA 93402 |
| Practice Telephone | 8055287316 |
| Practice Fax Number | 8055287316 |
| Mailing Telephone | 8055287316 |
| Mailing Fax Number | 8055287316 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC2531 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871934018 | Kimberly Ann Kavanagh | Physician Assistant | 1850 E Park Ave Ste 302, State College, PA 16803 | 2013-07-16 |
| 1114269792 | Kimberly Kavanagh | Pediatrics | 1430 Tulane Ave, #8055, New Orleans, LA 70112-2632 | 2013-03-21 |
| Street Address |
566 MITCHELL DRIVE |
| City | LOS OSOS |
| State | CA |
| Zip Code | 93402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890192 | Shawn Michael Bean | Chiropractor | 1806 Doris Ave, Los Osos, CA 93402 | 2017-09-15 |
| 1104260454 | Meghan Elizabeth Mckiernan | Family Medicine | 2238 Bayview Heights Dr Ste G, Los Osos, CA 93402 | 2013-04-17 |
| 1194014654 | Julie Ann Wade | Licensed Practical Nurse | 2033 Andre Avenue, Los Osos, CA 93402 | 2011-04-05 |
| 1962640078 | Andrew Benjamin Bonnett | Counselor | 1685 18th St., Los Osos, CA 93402 | 2009-01-27 |
| 1467634618 | Sattie Moyer Blanton | Marriage & Family Therapist | 2122 9th Street, Suite 110, Los Osos, CA 93402 | 2007-11-29 |
| 1538360649 | Russell Wayne Ball | Family Medicine | 2741 Houston Drive, Los Osos, CA 93402 | 2007-05-29 |
| 1336266410 | Maxine Ellen Stein | Marriage & Family Therapist | 2055 D 9th Street, Los Osos, CA 93402 | 2007-03-23 |
| 1619000122 | Craig Gordon Loveridge | Dentist | 2238 Bay View Heights Dr, Los Osos, CA 93402 | 2007-03-13 |
| 1386737039 | Jill Marie Bates | Marriage & Family Therapist | 900 Los Osos Valley Road, Suite C, Los Osos, CA 93402 | 2006-10-02 |
| 1326019019 | Greg Wayne Kaiser | Optometrist | 1352 Los Osos Valley Rd, Suite A, Los Osos, CA 93402 | 2006-01-30 |
| Find all providers in zip 93402 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326211939 | Heather Sutherland Miller | Acupuncturist | 1072 Los Osos Valley Rd, Los Osos, CA 93402-3237 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497557 | Golden Yung | Acupuncturist | 155 E 5th Ave, San Mateo, CA 94401-4108 | 2020-11-07 |
| 1316548951 | Sooyeon Yoon | Acupuncturist | 18765 Colima Rd, Rowland Heights, CA 91748-2949 | 2020-11-02 |
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1114528742 | Tao of Medicine Inc. | Acupuncturist | 2901 Wilshire Blvd Ste 335, Santa Monica, CA 90403-4930 | 2020-11-02 |
| 1518567643 | Jewel In The Lotus Healing | Acupuncturist | 1828 Felton St, San Diego, CA 92102-1230 | 2020-10-28 |
| 1700486784 | Srotas | Acupuncturist | 14758 Beach Blvd, La Mirada, CA 90638-4250 | 2020-10-28 |
| 1134728603 | Philip Reh | Acupuncturist | 451 Indian Springs Rd., Novato, CA 94947-4238 | 2020-10-25 |
| 1417556051 | Sharon Chen | Acupuncturist | 2440 S Hacienda Blvd Ste 231, Hacienda Heights, CA 91745-4774 | 2020-10-24 |
| 1609475078 | Marysa Kavalec | Acupuncturist | 2302 Oak St Apt 3, Santa Monica, CA 90405-5130 | 2020-10-18 |
| 1336747344 | Xiao Yan Liu | Acupuncturist | 16790 Ventry Way, San Lorenzo, CA 94580-1244 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KIMBERLY THERESA KAVANAGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.