MISS KIMBERLY ANN KAVANAGH


Address: 1850 E Park Ave Ste 302, State College, PA 16803
Phone: 8142784680

MISS KIMBERLY ANN KAVANAGH (NPI# 1871934018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871934018
Entity Type Individual
Full Name MISS KIMBERLY ANN KAVANAGH
Credential PA-C
Practice Address 1850 E Park Ave Ste 302
State College
PA 16803
Mailing Address 1850 E Park Ave Ste 302
State College
PA 16803-6706
Practice Telephone 8142784680
Practice Fax Number 8142351523
Mailing Telephone 8142784680
Mailing Fax Number 8142351523
Enumeration Date 2013-07-16
Last Update Date 2019-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant OA003060 PA Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant MA056146 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY KAVANAGH

NPI Name Taxonomy Address Enumeration
1356566145 Kimberly Theresa Kavanagh Acupuncturist 566 Mitchell Drive, Los Osos, CA 93402 2007-04-16
1114269792 Kimberly Kavanagh Pediatrics 1430 Tulane Ave, #8055, New Orleans, LA 70112-2632 2013-03-21

Office Location

Street Address 1850 E PARK AVE STE 302
City STATE COLLEGE
State PA
Zip Code 16803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962477786 Kristine K. Charles Obstetrics & Gynecology 1850 E Park Ave Ste 302, State College, PA 16803-6706 2006-02-23
1255834941 Elle Cruz Kunisch Nurse Practitioner 1850 E Park Ave Ste 302, State College, PA 16803-6706 2018-03-09
1730113838 Karen Leigh Brown Family Medicine 1850 E Park Ave Ste 302, State College, PA 16803-6706 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
Find all providers in zip 16803

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1740685858 Mallory L. Miller Physician Assistant 100 Radnor Rd Ste 101, State College, PA 16801 2014-10-31
1114100344 Kimberly Johnson Physician Assistant 1850 E Park Ave Ste 103, Cema, Er, State College, PA 16803-6706 2007-12-11
1184778045 Krista L. Sharer Physician Assistant 1630 North Atherton St., State College, PA 17822-5622 2007-01-22
1427077197 Nathaniel L. Pozniak Physician Assistant 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 2006-07-19
1548212970 Geisinger Clinic Physician Assistant 2520 Green Tech Drive, Ste D, State College, PA 16803 2006-05-16
1528019056 Geisinger Clinic Physician Assistant 200 Scenery Drive, State College, PA 16801 2006-05-12
1205824075 Victoria D Case Physician Assistant 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 2005-10-06
1194725812 Scott E Butler Physician Assistant 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803-2276 2005-07-22
Find all providers in STATE COLLEGE

Competitor

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City STATE COLLEGE
Zip Code 16803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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