Individual
TIFFANY KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6418 E 18TH AVE, SPOKANE VALLEY, WA 99212-0102
(509) 499-2182
Mailing address
6418 E 18TH AVE, SPOKANE VALLEY, WA 99212-0102
(509) 499-2182
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
00125836
WA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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