Colin David Kavanaugh, MD
Colin David Kavanaugh, MD is a Family Practice in Belleville, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2021, 5 years ago. Practices with Prairie Ridge Health Inc, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 5
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- WI
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1121 Bellwest BlvdBelleville, WI 53508-9433
Phone: (608) 424-3384
Fax: (608) 424-6353
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 515 22nd Ave, Monroe, WI 53566-1569 — (608) 324-1000
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 77586 (WI) |
Record details
| NPI number | 1841871241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | March 15, 2023 |
| Certification date | March 15, 2023 |
| Mailing address | 1121 Bellwest Blvd, Belleville, WI 53508-9433 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 2021 (5 years in practice) |
| Group practice | Prairie Ridge Health Inc — 68 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Belleville
-
Rachael Cornelius, MD
1121 Bellwest Blvd, Belleville, WI 53508-9433 · (608) 424-3384
-
Byron J Crouse, MD
21 S Vine St, Belleville, WI 53508 · (608) 424-3384
-
Liana Eskola, DO
1121 Bellwest Blvd, Belleville, WI 53508 · (608) 424-3384
-
George L Gay Jr., MD
21 S Vine St, Belleville, WI 53508-9179 · (608) 424-3384
-
Brian Kenealy, MD
1121 Bellwest Blvd, Belleville, WI 53508-9433 · (608) 424-3384
-
Jillian Landeck, MD
1121 Bellwest Blvd, Belleville, WI 53508-9433 · (608) 424-3384
-
Dr. Jennifer Elizabeth Lochner, MD
21 S Vine St, Belleville, WI 53508-9179 · (608) 424-3384
-
Rebeka Lynn Mercker, MD
1121 Bellwest Blvd, Belleville, WI 53508-9433 · (608) 424-3384