Kavanaugh, Bryan

Kavanaugh, Bryan is an sole proprietor health care provider with primary practice located at 2800 Cleveland Ave N , Roseville MN 55113-1126. He recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as his primary health care specialty. Kavanaugh, Bryan can be contacted via phone (651) 642-1825.

Contact Information

Primary practice address
2800 Cleveland Ave N Roseville MN 55113-1126
Phone: (651) 642-1825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R191548-2 Minnesota

Profile Details

NPI number 1033415716
LBN Legal business name Kavanaugh, Bryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2011
Last updated Jan 28th, 2011 - about 14 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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