NPI Profile for MEGHAN T KAVANAUGH in RUSTON, LA.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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MEGHAN T KAVANAUGH
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