Individual
KAY CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 13TH AVE, TARENTUM, PA 15084-1219
(412) 592-7579
Mailing address
107 W 13TH AVE, TARENTUM, PA 15084-1219
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
RN620513
PA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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