NPI 1033415716

Bryan Kavanaugh

Practitioner Pediatric Registered Nurse Roseville, MN

Practice location

Address: 2800 Cleveland Ave N, Roseville, MN 55113-1126
Phone: (651) 642-1825

Registered specialties

Pediatric Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0200X Licence R191548-2 (MN)

Other Registered Nurse providers in Minnesota →

Registry record

NPI: 1033415716
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2011
Record last updated: 28 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.