Individual
KATHLEEN R KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 MECHANIC ST APT 1, SKOWHEGAN, ME 04976-1460
(207) 431-2354
Mailing address
26 MECHANIC ST APT 1, SKOWHEGAN, ME 04976-1460
(207) 431-2354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN50139
ME
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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