Kavanaugh, Margaret
Kavanaugh, Margaret is an individual health care provider with primary practice located at 3449 E Rezanof Dr Infant Learning Program, Kodiak AK 99615-6952. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Kavanaugh, Margaret can be contacted via phone (907) 486-1374.Contact Information
Primary practice address
3449 E Rezanof Dr Infant Learning Program
Kodiak AK 99615-6952
Phone: (907) 486-1374
Fax: (907) 486-4829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1124335757 |
|---|---|
| LBN Legal business name | Kavanaugh, Margaret |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2010 |
| Last updated | Sep 2nd, 2010 - about 16 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 | 1124335757 | NPPES |
| Alaska | MEDICAID | CMG225 |
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