Doctor Name: | KAYSE MCGOVERN |
NPI Number: | 1558637009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CPNP |
License Number: | RN2270015 |
Business Practice Address: | 7321 Balmer St Hill Afb, UT - 840565012 |
Business Phone Number: | 8017775285 |
Business Fax Number: | |
Mailing Address: | 7321 Balmer St, HILL AFB |
State: | UT |
Postal Code: | 840565012 |
Phone Number: | 8017775285 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | RN2270015 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |