Christine B Kavanagh, CRNP - in South Williamsport, PA

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Christine B Kavanagh, CRNP is a Nurse Practitioner - Pediatrics based in South Williamsport, Pennsylvania. Christine B Kavanagh is licensed to practice in Pennsylvania (license number SP-008251) and her current practice location is 6 E Mountain Ave, South Williamsport, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 321-1831.

NPI number for Christine B Kavanagh is 1518172295 and her current mailing address is 1616 Walnut St, Williamsport, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518172295.

Contact Information

Christine B Kavanagh, CRNP
6 E Mountain Ave,
South Williamsport, PA 17702-7628
(570) 321-1831
(570) 321-1824

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Healthcare Provider's Profile

Full NameChristine B Kavanagh
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location6 E Mountain Ave, South Williamsport, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518172295
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Christine B Kavanagh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518172295NPI-NPPES
SP-008251OtherPASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered DN003091 (Pennsylvania)Primary
363LP0200XNurse Practitioner - Pediatrics SP-008251 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christine B Kavanagh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christine B Kavanagh, CRNP
1616 Walnut St,
Williamsport, PA 17701-2060

Ph: (570) 321-1831		Christine B Kavanagh, CRNP
6 E Mountain Ave,
South Williamsport, PA 17702-7628

Ph: (570) 321-1831

Reviews and Comments



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