Individual
ANNA KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4144 WYNTREE DR, NEWBURGH, IN 47630-2521
(812) 858-1957
(812) 858-1917
Mailing address
4144 WYNTREE DR, NEWBURGH, IN 47630-2521
(812) 858-1957
(812) 858-1917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004829A
IN
363LF0000X
Family Nurse Practitioner
71004829A
IN
Other
Enumeration date
02/21/2014
Last updated
03/03/2025
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