IndividualActive
Douglas Kavanaugh, PA-C
NPI 1447201165 · Medical Physician Assistant · Bangor, ME
Provider details
- NPI number
- 1447201165
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA561 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Northeast Dr
Emmc - Northeast Cardiology Associates
Bangor, ME 04401
Phone: (207) 275-3800
Fax: (207) 275-3803
Approximate (ZIP-level) locationGet directions
Mailing address
43 Whiting Hill Rd
Brewer, ME 04412
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2016-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.