Individual
KELLY CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 513-5286
Mailing address
2270 MEADOWLAKE RD APT 803, CONWAY, AR 72032-2676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1627
AR
Other
Enumeration date
12/18/2017
Last updated
03/25/2020
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