Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN KAVANAUGH
Active Sole ProprietorBRYAN KAVANAUGH is a Pediatric Nurse healthcare provider located in ROSEVILLE, Minnesota. NPI 1033415716 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · ROSEVILLE, MN
Registration Details
- NPI Number
- 1033415716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2011 (15.55360980291 yrs)
- Last Updated
- Jan 28, 2011
- License
-
R191548-2 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 CLEVELAND AVE NROSEVILLE, MN, 551131126Browse MN providers · Browse ZIP 55113
- Phone
- 6516421825
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Other Pediatric Nurse Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| HEATHER RITGER | — | 1295030302 |
| JEANNA SWANSON | — | 1154626257 |
| BRIANNA FUHRMAN | — | 1538465711 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.