Debra A Kavanagh (NPI# 1891754206, PAC ID# 6608832605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1891754206 |
| PAC ID by PECOS | 6608832605 |
| Professional Enrollment ID | I20041201000925 |
| Full Name | Debra A Kavanagh |
| Address |
4884 61st Cir Vero Beach FL 32967-6146 |
| Phone Number | 7725329728 |
| Gender | F |
| Credential | PSY |
| Graduation Year | 1984 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1537 Ne Cedar St, Jensen Beach, FL 34957-4808 | 7723321000 | |
| 1655 Se Walton Rd, Port St Lucie, FL 34952-7657 | 7723371333 | |
| 4884 61st Cir, Vero Beach, FL 32967-6146 | 7725329728 |
| Street Address |
4884 61ST CIR |
| City | VERO BEACH |
| State | FL |
| Zip | 32967-6146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Louise Brownlee | Nurse Practitioner | Florida Department of Health | 4675 28th Ct, Vero Beach, FL 32967-1329 |
| Jessica Dionne Jenkins | Nurse Practitioner | Florida Department of Health | 4675 28th Ct, Vero Beach, FL 32967-1329 |
| City | VERO BEACH |
| Zip Code | 32967 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | VERO BEACH + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Debra A Kavanagh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.