Provider Demographics
NPI:1962665075
Name:KAVANAGH, FRANCIS ROGER (MVB, MRCVS)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ROGER
Last Name:KAVANAGH
Suffix:
Gender:M
Credentials:MVB, MRCVS
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:KAVANAGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:190 N FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1632
Mailing Address - Country:US
Mailing Address - Phone:201-327-1877
Mailing Address - Fax:
Practice Address - Street 1:190 N FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1632
Practice Address - Country:US
Practice Address - Phone:201-327-1877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100208900174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian