Individual
KIMBERLY A. CAVANAGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A. - C.
Contact information
Practice address
120 E. 2ND STREET, 2ND FLOOR, ERIE, PA 16507-1537
(814) 456-8980
(814) 451-0443
Mailing address
120 E. 2ND STREET, 2ND FLOOR, ERIE, PA 16507-1537
(814) 456-8980
(814) 451-0443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002855L
PA
Other
Enumeration date
06/21/2005
Last updated
07/08/2007
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