Kenneth C Kavanagh
ARNP | Nurse Practitioner - Adult Health | 29+ years Exp
780 Albany St, Boston
Massachusetts, 02118-2524
857-654-1600
Kenneth C Kavanagh is a Boston, Massachusetts based nurse practitioner with 29 years of experience in Adult Health. He completed his graduation in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth C Kavanagh is 213555 for Psych/Mental Health in Massachusetts. His current practice location is 780 Albany St, Boston. Patients can reach him at 857-654-1600. Kenneth C Kavanagh is ARNP with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1699825919.
Kenneth C Kavanagh can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Kenneth C Kavanagh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kenneth C Kavanagh |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Male |
| Credentials: | ARNP |
| Experience: | 29+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1996 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 780 Albany St, Boston,
Massachusetts, 02118-2524 |
| Phone: | 857-654-1600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7012941503 |
| Enrollment ID: | I20140106001376 |
| NPI Number: | 1699825919 |
| NPI Enumeration Date: | 11 Jan, 2007 |
| NPI Last Update On: | 12 Dec, 2012 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth C Kavanagh are as mentioned below.
| License Number | Specialization | State | Status | |
| 213555 | Psych/Mental Health | Massachusetts | Primary | |
| ARNP9200934 | Adult Health | Florida | Secondary | |
| ARNP9200934 | Nurse Practitioner | Florida | Secondary | |
| 213555 | Adult Health | Massachusetts | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kenneth C Kavanagh is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Community Services Institute, Inc. (8224192968) | 8 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth C Kavanagh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 305613900 | Medicaid | Florida | |
| Y124U | Other | Florida | BLUE CROSS BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth C Kavanagh
780 Albany St,
Boston, Massachusetts |
| Zip: | 02118-2524 |
| Phone Number: | 857-654-1600 |
Patients can reach Kenneth C Kavanagh at
780 Albany St, Boston, Massachusetts or can
call to book an appointment on 857-654-1600.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.