Kavanaugh, Pat

Kavanaugh, Pat is an individual health care provider with primary practice located at 3420 Chanate Rd , Santa Rosa CA 95404-1710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kavanaugh, Pat can be contacted via phone (707) 565-4822.

Contact Information

Primary practice address
3420 Chanate Rd Santa Rosa CA 95404-1710
Phone: (707) 565-4822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X V097457 California

Profile Details

NPI number 1598984379
LBN Legal business name Kavanaugh, Pat
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 15th, 2014 - about 10 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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