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:
Health care specialties
Specialty | Code | License # | 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 3 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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