Cavanaugh, Kathleen G
Cavanaugh, Kathleen G is an individual health care provider with primary practice located at 4033 Talbot Rd S #270, Renton WA 98055-5772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cavanaugh, Kathleen G can be contacted via phone (425) 353-3788.Contact Information
Primary practice address
4033 Talbot Rd S #270
Renton WA 98055-5772
Phone: (425) 353-3788
Fax: (425) 353-8041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN0012429 | Washington |
Profile Details
| NPI number | 1225112717 |
|---|---|
| LBN Legal business name | Cavanaugh, Kathleen G |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Nov 19th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225112717 | NPPES |
| Washington | Other | 125162 | L & I |
| Washington | MEDICAID | 9620964 | L & I |
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