Individual provider · Type 1 NPI

Amanda Kavanaugh, PAC

Surgical Physician Assistant · Wenatchee, WA

NPI number 1861047425 Active

Practice location

1201 S Miller St
Wenatchee, WA 98801-3201

Call (509) 663-8711 Map

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60938355 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1861047425

Amanda Kavanaugh, PAC's National Provider Identifier is 1861047425, issued on Aug 9, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wenatchee, WA. The record was last updated on Feb 3, 2022.