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Tara Kavanaugh, PA-C
NPI 1306968482 · on the registry since 2007
Practice
- Address
- 5505 S 900 E Ste 240
Murray, UT 84117 - Phone
- (801) 783-5011
- Fax
- (801) 746-3734
- Organisation at this address
- Passport Health Holdings Llc
Utah Regional Hospitalists Llc
It'S Personal Care Services Llc
Community Health And Immunization Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- NV, MD, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah