Dr TARA KAVANAUGH is a female medical professional, specializing in Physician Assistant. She graduated in 2003.
SANTIBANEZ AGUIRRE PC
1600 W ANTELOPE DR
LAYTON
UT
840411142
Tel: 8017835011
| Npi | 1306968482 |
| Pac Id | 6305946310 |
| Professional Enrollment Id | I20161209001570 |
| Last Name | KAVANAUGH |
| First Name | TARA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SANTIBANEZ AGUIRRE PC |
| Group Practice Pac Id | 4789807165 |
| Number Of Group Practice Members | 87 |
| Line 1 Street Address | 1600 W ANTELOPE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAYTON |
| State | UT |
| Zip Code | 840411142 |
| Phone Number | 8017835011 |
| Hospital Affiliation Ccn 1 | 460010 |
| Hospital Affiliation Lbn 1 | INTERMOUNTAIN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460047 |
| Hospital Affiliation Lbn 2 | ST MARK'S HOSPITAL |
| Hospital Affiliation Ccn 3 | 460044 |
| Hospital Affiliation Lbn 3 | ALTA VIEW HOSPITAL |
| Hospital Affiliation Ccn 4 | 460051 |
| Hospital Affiliation Lbn 4 | JORDAN VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 460049 |
| Hospital Affiliation Lbn 5 | THE ORTHOPEDIC SPECIALTY HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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