Individual
BARBARA LYNN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13013 FULLERAVE, SUITE A, GRANDVIEW, MO 64030
(816) 214-5548
Mailing address
12555 S CLINTON ST, OLATHE, KS 66061-6327
(816) 214-5548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014036567
MO
363LF0000X
Family Nurse Practitioner
53-76609-022
KS
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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