Provider Demographics
NPI:1265834378
Name:KAVAN, SCOTT A (PA-C)
Entity Type:Individual
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First Name:SCOTT
Middle Name:A
Last Name:KAVAN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5005 N PIEDRAS ST
Mailing Address - Street 2:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-742-6382
Mailing Address - Fax:915-742-4890
Practice Address - Street 1:5005 N PIEDRAS ST
Practice Address - Street 2:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-6382
Practice Address - Fax:915-742-4890
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant