Kavanaugh, Tara Lynn

Kavanaugh, Tara Lynn is an individual health care provider with primary practice located at 5505 S 900 E Ste 240 , Murray UT 84117-7210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kavanaugh, Tara Lynn can be contacted via phone (801) 783-5011.

Contact Information

Primary practice address
5505 S 900 E Ste 240 Murray UT 84117-7210
Phone: (801) 783-5011
Fax: (801) 746-3734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1111 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0003211 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10088016-1206 Utah

Profile Details

NPI number 1306968482
LBN Legal business name Kavanaugh, Tara Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 21st, 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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