Kavanagh, Christine B

Kavanagh, Christine B is an individual health care provider with primary practice located at 6 E Mountain Ave , South Williamsport PA 17702-7628. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Kavanagh, Christine B can be contacted via phone (570) 321-1831.

Contact Information

Primary practice address
6 E Mountain Ave South Williamsport PA 17702-7628
Phone: (570) 321-1831
Fax: (570) 321-1824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN003091 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP-008251 Pennsylvania

Profile Details

NPI number 1518172295
LBN Legal business name Kavanagh, Christine B
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518172295 NPPES
Pennsylvania Other SP-008251 STATE LICENSE

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