Individual
KRISTI LYNN KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2055 KIMBALL AVE, WATERLOO, IA 50702-5014
(319) 272-2112
(319) 272-2179
Mailing address
2055 KIMBALL AVE, WATERLOO, IA 50702-5014
(319) 272-2112
(319) 272-2179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20640
IA
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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