Individual
MRS. KIM BIGARI KAVANAGH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1300 EGG HARBOR RD STE 108, STURGEON BAY, WI 54235-1284
(920) 746-0410
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4730-026
WI
Other
Enumeration date
05/19/2009
Last updated
02/17/2015
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