Kavanaugh Supplies Llc
Durable Medical Equipment & Medical Supplies
22 98 Place Blvd, Suite 10, Hattiesburg
Mississippi, 39402-8603
601-296-6763 601-296-6764
Kavanaugh Supplies Llc is a Durable Medical Equipment & Medical Supplies in Hattiesburg, Mississippi. It is located at 22 98 Place Blvd, Suite 10, Hattiesburg and it's customer support contact number is 601-296-6763. The authorized person of Kavanaugh Supplies Llc is Mr. John Kavanaugh who is Managing Member of this DME and his contact number is 601-296-6763. Active license number of Kavanaugh Supplies Llc is 037068103 for Durable Medical Equipment & Medical Supplies in Mississippi.
Kavanaugh Supplies Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Kavanaugh Supplies Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Kavanaugh Supplies Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 22 98 Place Blvd, Suite 10, Hattiesburg,
Mississippi, 39402-8603 |
| Phone: | 601-296-6763 |
| Fax: | 601-296-6764 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. John Kavanaugh |
| Position: | Managing Member |
| Contact Number: | 601-296-6763 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1942221973 |
| NPI Enumeration Date: | 23 Jul, 2006 |
| NPI Last Update On: | 08 Jun, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kavanaugh Supplies Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 037068103 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 08876259 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 22 98 Place Blvd, Suite 10
Hattiesburg, Mississippi |
| Zip: | 39402-8603 |
| Phone Number: | 601-296-6763 |
| Fax Number: | 601-296-6764 |
Patients can reach Kavanaugh Supplies Llc at
22 98 Place Blvd, Suite 10, Hattiesburg, Mississippi or can
call on customer care at 601-296-6763.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.