NPI 1528909421

Brandon M Kavanaugh

Practitioner Health & Wellness Coach Sheridan, WY

Practice location

Address: 30 N Gould St STE R, Sheridan, WY 82801-6317
Phone: (949) 323-0067
Mailing address: 912 Nutwood Ave, Fullerton, CA 92831-2723

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1528909421
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2026
Record last updated: 3 Apr 2026

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.