Kavanaugh, Katherine
Kavanaugh, Katherine is an individual health care provider with primary practice located at 600 7Th St Se , Cedar Rapids IA 52401-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Kavanaugh, Katherine can be contacted via phone (319) 221-8800.Contact Information
Primary practice address
600 7Th St Se
Cedar Rapids IA 52401-2112
Phone: (319) 221-8800
Fax: (319) 221-8787
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 078725 | Iowa |
Profile Details
NPI number | 1821058306 |
---|---|
LBN Legal business name | Kavanaugh, Katherine |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Oct 25th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821058306 | NPPES |
Iowa | MEDICAID | 0470948 |
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