Individual
DR. MARIAN ROSE KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 455-8071
Mailing address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 455-8071
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
10522
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
06/27/2024
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