Judith Kavanaugh , LMP
Contractor • Gig Harbor, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judith Kavanaugh has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Judith Kavanaugh, LMP was a registered Contractor practicing in Gig Harbor, WA. Throughout an active medical career spanning 10 years, Judith Kavanaugh provided care at the practice location at 4621 BIRCH TREE LN NW until profile deactivation on 2022-09-28.
Practice Location & Contact Primary Location
4621 Birch Tree Ln Nw
Gig Harbor, WA 983358136
Specialty Benchmarks & Practice Insights
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Practicing in Gig Harbor, WA (234 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
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Record deactivated on September 28, 2022
NPI status registered as active in NPPES database
Registered at 4621 BIRCH TREE LN NW, GIG HARBOR, WA 983358136 (Tel: 4252181848)
Registered at 4621 BIRCH TREE LN NW, GIG HARBOR, WA 983358136 (Tel: 4252181848)
Recorded as JUDITH KAVANAUGH, LMP
Contractor (License #00019133 in WA)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
4621 Birch Tree Ln Nw
Gig Harbor, WA 983358136
Phone: 4252181848
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