Search › California › 101YA0400X
Pete Kavanaugh, SUDRC15061
NPI 1649974759 · on the registry since 2023
Practice
- Address
- 14715 East Hwy 20
Clearlake Oaks, CA 95423 - Phone
- (707) 998-1800
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-30
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 California