Michael Kavanagh, CPO
NPI 1619032497 · on the registry since 2006
Practice
- Address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905 - Phone
- (762) 408-1467
- Clinicians at this address
- 158
Additional practice sites
- 125 Perry Mill Rd, Pine Mountain, GA
Registry record
- Primary taxonomy
- Orthotist
222Z00000X
- Also registered as
- Prosthetist
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia