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

Mr. Michael P Kavanagh, CPO

Individual provider Prosthetist · NPI 1619032497

Mr. Michael P Kavanagh, CPO is a Prosthetist in Fort Moore, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (762) 408-1467
Show map & directions

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

Additional practice locations (1)

  • 125 Perry Mill Rd, Pine Mountain, GA 31822-5112 — (770) 328-4158

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 34 (GA)
Prosthetist Taxonomy 224P00000X · Licence 34 (GA)

Record details

NPI number1619032497
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025