Kate Kavanaugh, Ma Lp, Pa
LBN: Kate Kavanaugh, Ma Lp, Pa
Kate Kavanaugh, Ma Lp, Pa is an health care organization with primary practice located at 9531 W. 78Th Street Suite 110, Eden Prairie MN 55344. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Kate Kavanaugh, Ma Lp, Pa can be contacted via phone (952) 893-9791, or through Kavanaugh, Kathleen Marie via phone (952) 893-9791.
Contact Information
Primary practice address
9531 W. 78Th Street Suite 110
Eden Prairie MN 55344
Phone: (952) 893-9791
Fax: (952) 841-7069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2468 | Minnesota |
Profile Details
| NPI number | 1396714234 |
|---|---|
| LBN Legal business name | Kate Kavanaugh, Ma Lp, Pa |
| DBA Doing business as | |
| Authorized official | Kavanaugh, Kathleen Marie MA LP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 3rd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396714234 | NPPES |
| Minnesota | Other | 440053400 | MEDICAL ASSISTANCE |
| Minnesota | Other | 61-16357 | MEDICAL ASSISTANCE |
| Minnesota | Other | 472664907 | MEDICAL ASSISTANCE |
| Minnesota | Other | 29G42KA | MEDICAL ASSISTANCE |
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