NPI 1275128258
Desiree Alis Kavanaugh, LPN
Practice location
- Address
- 615 Pride Dr, Hammond, LA 70401-9523
- Phone
- (985) 419-1666
- Fax
- (985) 429-8999
Registered specialties
Licensed Practical Nurse
Primary
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.