| Miss Kimberly Ann Kavanagh, PA-C | |
| 
					1850 E Park Ave Ste 302, State College, PA 16803  | |
| (814) 278-4680 | |
| (814) 235-1523 | 
| Full Name | Miss Kimberly Ann Kavanagh | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 1850 E Park Ave Ste 302, State College, Pennsylvania | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871934018 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | OA003060 (Pennsylvania) | Secondary | 
| 363A00000X | Physician Assistant | MA056146 (Pennsylvania) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miss Kimberly Ann Kavanagh, PA-C 1850 E Park Ave Ste 302, State College, PA 16803-6706 Ph: (814) 278-4680  | Miss Kimberly Ann Kavanagh, PA-C 1850 E Park Ave Ste 302, State College, PA 16803 Ph: (814) 278-4680  | 
Mrs. Kelly Kathleen Luther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1630 N Atherton St, State College, PA 16803 Phone: 814-238-1279 Fax: 814-238-1929  | |
Ms. April A. Rine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-235-5512  | |
Mr. Matthew Ethan Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126  | |
Mr. Scott M Minor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484  | |
Ashley Marie Bowser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150  | |
Ms. Meredith Constance Galt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1630 N Atherton St, State College, PA 16803 Phone: 814-238-1279 Fax: 814-238-1929  | |
Amanda M. Cordero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150  |