Individual
KATHLEEN G CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4033 TALBOT RD S, #270, RENTON, WA 98055-5772
(425) 353-3788
(425) 353-8041
Mailing address
PO BOX 24961, SEATTLE, WA 98124-0961
(425) 353-3788
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0012429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125162
L & I
WA
05
—
9620964
—
WA
Enumeration date
10/24/2006
Last updated
11/19/2007
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