Individual
KIMBERLEY KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
326 PENN ST FL 2, CAMDEN, NJ 08102-1410
(856) 225-6005
Mailing address
5 E KENNEDY DR, LAUREL SPRINGS, NJ 08021-2748
(856) 816-5977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO08685200
NJ
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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