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Contact Information

MEGHAN T KAVANAUGH
707 S VIENNA ST
RUSTON, LA71270-5845
 Phone: 183-224-3044
 Fax: 318-232-2978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MEGHAN T KAVANAUGH · (Female)

NPI Number 1548418189
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2008
Last updated 01/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 206952
  • LA License # 2108
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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