Provider Demographics
NPI:1699822031
Name:KAVEY, RICHARD PLAUT (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PLAUT
Last Name:KAVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 SYRACUSE RD
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-9665
Mailing Address - Country:US
Mailing Address - Phone:315-655-5850
Mailing Address - Fax:315-655-5850
Practice Address - Street 1:4216 SYRACUSE RD
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035-9665
Practice Address - Country:US
Practice Address - Phone:315-655-5850
Practice Address - Fax:315-655-5850
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127779173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine