Individual
MELISSA KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 WHITE HORSE PIKE, SUITE 1B, HADDON HEIGHTS, NJ 08035-1246
(856) 617-1012
Mailing address
8 KNOLLWOOD DR, CHERRY HILL, NJ 08002-1618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86037064
—
Other
Enumeration date
08/17/2016
Last updated
03/17/2018
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