Kavanaugh, Kathleen Marie
Kavanaugh, Kathleen Marie is an sole proprietor health care provider with primary practice located at 9531 W 78Th St Ste 110 , Eden Prairie MN 55344-8022. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kavanaugh, Kathleen Marie can be contacted via phone (952) 893-9791.Contact Information
Primary practice address
9531 W 78Th St Ste 110
Eden Prairie MN 55344-8022
Phone: (952) 893-9791
Fax: (952) 841-7069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2468 | Minnesota |
Profile Details
| NPI number | 1154812238 |
|---|---|
| LBN Legal business name | Kavanaugh, Kathleen Marie |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2018 |
| Last updated | May 23rd, 2018 - about 8 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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