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Michael Kavanagh, CPO — NPI 1619032497, Fort Moore, GA | NPI Central

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NPI 1619032497

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Michael Kavanagh, CPO

NPI 1619032497 · Orthotist · Fort Moore, GA

Provider details

NPI number: 1619032497
Entity type: Individual
Primary specialty: OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: CPO
Sex: Male
Sole proprietor: No
License: 34 (GA)

Specialties & taxonomies

OrthotistPrimary222Z00000XLicense 34 (GA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Prosthetist224P00000XLicense 34 (GA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

6600 Van Aalst Blvd

Fort Moore, GA 31905-2102

Phone: (762) 408-1467

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

125 Perrys Mill Rd

Pine Mountain, GA 31822-5112

Additional practice locations (1)

125 Perry Mill Rd
Pine Mountain, GA 31822-5112
Phone: (770) 328-4158

Registry dates

Enumerated: 2006-12-22
Last updated: 2025-02-04
Certified: 2025-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.