Bryan Kavanaugh, - Registered Nurse in Roseville, MN

Bryan Kavanaugh, is a Registered Nurse - Pediatrics based in Roseville, Minnesota. Bryan Kavanaugh is licensed to practice in Minnesota (license number R191548-2) and his current practice location is 2800 Cleveland Ave N, Roseville, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 642-1825.

NPI number for Bryan Kavanaugh is 1033415716 and his current mailing address is 2800 Cleveland Ave N, Roseville, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033415716.

Contact Information

Bryan Kavanaugh,
2800 Cleveland Ave N,
Roseville, MN 55113-1126
(651) 642-1825
Not Available



Provider's Profile

Full NameBryan Kavanaugh
GenderMale
SpecialityRegistered Nurse - Pediatrics
Location2800 Cleveland Ave N, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033415716
  • Provider Enumeration Date: 01/28/2011
  • Last Update Date: 01/28/2011

Medical Identifiers

Medical identifiers for Bryan Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033415716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics R191548-2 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Kavanaugh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan Kavanaugh,
2800 Cleveland Ave N,
Roseville, MN 55113-1126

Ph: () -
Bryan Kavanaugh,
2800 Cleveland Ave N,
Roseville, MN 55113-1126

Ph: (651) 642-1825

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Registered Nurse Nurses in Roseville, MN

Heidi M Osborn, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Melissa Lynne Schmidt, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Melissa Ann Elverud, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 612-642-1825    
Heather Marie Semler,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Keather Luci Richards, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Mary Wendt,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Jean Stumpf,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    

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