Kavanaugh, Amanda

Kavanaugh, Amanda is an individual health care provider with primary practice located at 1201 S Miller St , Wenatchee WA 98801-3201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kavanaugh, Amanda can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
1201 S Miller St Wenatchee WA 98801-3201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60938355 Washington

Profile Details

NPI number 1861047425
LBN Legal business name Kavanaugh, Amanda
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2019
Last updated Feb 3rd, 2022 - about 2 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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