NPI 1912584780

Marian Rose Kavanaugh, DPM

Practitioner Podiatrist Wheeling, WV

Practice location

Address: 1 Medical Park, Wheeling, WV 26003-6379
Phone: (304) 455-8071

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 10522 (WV)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1912584780
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2021
Record last updated: 27 Jun 2024

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.