Kurt Kavanaugh Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Kansas City, MO. Organization (NPI-2).
NPI number1396889853
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1396889853
- Entity type
- Organization (NPI-2)
- Legal business name
- Kurt Kavanaugh Orthodontics
- Organization subpart
- No
- Enumeration date
- Feb 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 014547 | MO | Yes |
Practice location
8407 N Main StKansas City, MO 64155-2426
Phone 816-420-8100 · Fax 816-420-8416
Mailing address
8407 N Main StKansas City, MO 64155-2426
Phone 816-420-8100 · Fax 816-420-8416
Authorized official
Kurt Edward Kavanaugh
Owner
8164208100
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