Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE KAVANAGH
Active Sole ProprietorTINA MARIE KAVANAGH is a Podiatric Surgery healthcare provider located in MANTECA, California. NPI 1053968560 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MANTECA, CA
Registration Details
- NPI Number
- 1053968560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2019 (6.9993280899875 yrs)
- Last Updated
- Aug 20, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
635 ARGONAUT STMANTECA, CA, 953363616Browse CA providers · Browse ZIP 95336
- Phone
- 2095135295
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in MANTECA, CA
| Name | Credential | NPI |
|---|---|---|
| ANGELINA LOUISE ELLSWORTH | — | 1538710520 |
| DOROTHY ORTIZ | — | 1215588942 |
| ROSA ISELA ARRIAGA MENDOZA | — | 1598316853 |
| MAYRA ALEJANDRA SOUZA | — | 1386402055 |
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.