Michael Kavanagh, CPO

Individual Active
NPI 1619032497
Orthotist Fort Moore, GA

Michael Kavanagh, CPO is an orthotist practicing in Fort Moore, GA. The NPI was issued on December 22, 2006, and the record was last updated in NPPES on February 4, 2025. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X 34 (GA)
Prosthetist 224P00000X 34 (GA)

Practice locations

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-1467
125 Perry Mill Rd
Pine Mountain, GA 31822-5112
Phone: (770) 328-4158

Local context

Active NPPES records list 3 providers with orthotist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 23 in Georgia and 1,337 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Michael P Kavanagh
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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