Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin M Kavanaugh, MD

Individual provider Interventional Cardiology Physician · NPI 1205889433

Dr. Kevin M Kavanaugh, MD is an Interventional Cardiology in Spokane, Washington. Graduated from Sanford School of Medicine of University of South Dakota in 1983, 43 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
43
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
ID, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

122 W 7th Ave Ste 310
Spokane, WA 99204-2349
Phone: (509) 838-7711
Fax: (509) 747-4664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814-4487 — (208) 625-5250
  • 415 6th St, Lewiston, ID 83501 — (208) 750-7507

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD00031738 (WA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD31738 (WA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence M-6627 (ID)

Record details

NPI number1205889433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 1983 (43 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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