MRS. TARA KAVANAUGH, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1306968482

Practice Address

5505 S 900 E STE 240
Murray, UT 84117

Phone: (801) 783-5011

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No C0003211 (MD)
Physician Assistant - Medical 363AM0700X Yes 10088016-1206 (UT)

Frequently Asked Questions

NPI 1306968482 is the National Provider Identifier for MRS. TARA KAVANAUGH, PA-C, a Physician Assistant - Medical provider located in Murray, UT. This NPI was enumerated on April 6, 2007.
MRS. TARA KAVANAUGH, PA-C practices at 5505 S 900 E STE 240, Murray, UT 84117.

Quick Facts

NPI
1306968482
Type
Individual
Enumerated
Apr 6, 2007
Last Updated
Jul 21, 2022

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