Individual
KIMBERLY CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
650 HUEBNER RD, FT RILEY, KS 66442-4030
(785) 240-8201
Mailing address
PO BOX 298, OGDEN, KS 66517-0298
(785) 240-8201
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN001145366
WA
Other
Enumeration date
10/28/2020
Last updated
10/29/2020
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