| Doctor Name: | MS. ARLENE DENISE KAVANAGH |
| NPI Number: | 1033488218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 1 High St Wakefield, RI - 028793103 |
| Business Phone Number: | 4017891422 |
| Business Fax Number: | 4017826810 |
| Mailing Address: | 1 High St, WAKEFIELD |
| State: | RI |
| Postal Code: | 028793103 |
| Phone Number: | 4017891422 |
| Fax Number: | 4017826810 |
| NPI Enumeration Date: | 12/18/2011 |
| NPI Last Update Date: | 11/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |