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DR. PETER SHAUN KAVANAUGH DC
NPI 1154484111
Chiropractor in Philadelphia, PA

Active since December 19, 2006
3301 RYAN AVE, PHILADELPHIA, PA 19136(215) 332-8686(215) 332-8691 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Shaun Kavanaugh Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER SHAUN KAVANAUGH DC (NPI 1154484111) is an individual chiropractor in Philadelphia, Pennsylvania, licensed in Pennsylvania (1897) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1154484111
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PETER SHAUN KAVANAUGHCredential: DC
Location Address3301 RYAN AVEPhiladelphia, PA 19136-4301
Mailing Address3301 Ryan AvePhiladelphia, PA 19136 · (215) 332-8686 · Fax (215) 332-8691
Phone(215) 332-8686
Fax(215) 332-8691
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1154484111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · 1897
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3301 RYAN AVE, Philadelphia, PA 19136
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Other Names 1

Professional Name (2)Dr. P Shaun Kavanaugh Dc

Other Identifiers 4

Other2142140000PA · Personal Choice
Medicare ID-Type Unspecified087374PA
Medicaid087374PA
Other0061018000PA · Keystone

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARAK NAVIN PATEL D.C.
Chiropractor
3301 RYAN AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 332-8686
MAYFAIR FAMILY CHIROPRACTIC CENTER INC.
Chiropractor
3301 RYAN AVE
PHILADELPHIA, PA 19136
Philadelphia County (856) 904-3061
STEVEN MICHAEL REALDINE JR. DC
Chiropractor
3301 RYAN AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 332-8686
MS. VICTORIA HUMMEL DC
Chiropractor
3301 RYAN AVE
PHILADELPHIA, PA 19136
Philadelphia County (215) 332-8686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Kavanaugh's NPI number?

The NPI number for Peter Kavanaugh is 1154484111. It was assigned to this individual provider in the NPPES registry on December 19, 2006. The provider is also known as Dr. P Shaun Kavanaugh Dc.

Where is Peter Kavanaugh located?

Peter Kavanaugh practices at 3301 Ryan Ave, Philadelphia, PA 19136. The listed phone number is (215) 332-8686.

What is Peter Kavanaugh's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Peter Kavanaugh was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.