Kavan, Marianne Augustine

Kavan, Marianne Augustine is an individual health care provider with primary practice located at 295 S Chipeta Way , Salt Lake City UT 84108-1287. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Kavan, Marianne Augustine can be contacted via phone (703) 862-9076.

Contact Information

Primary practice address
295 S Chipeta Way Salt Lake City UT 84108-1287
Phone: (703) 862-9076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT193865 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 959965-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Transplant Hepatology 2080T0004X 959965-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 959965-1205 Utah

Profile Details

NPI number 1245486422
LBN Legal business name Kavan, Marianne Augustine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Dec 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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