Whalio Doctors

NPI 1275128258

Desiree Alis Kavanaugh, LPN

Practitioner Licensed Practical Nurse Hammond, LA

Practice location

Address
615 Pride Dr, Hammond, LA 70401-9523
Phone
(985) 419-1666
Fax
(985) 429-8999

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 280475 (LA)

Registry record

NPI
1275128258
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Mar 2021
Record last updated
2 Mar 2021

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.