Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marianne Augustine Kavan, MD

Individual provider Pediatrics Physician · NPI 1245486422

Marianne Augustine Kavan, MD is a Pediatrics Physician in Salt Lake City, Utah. Licensed in Pennsylvania and Utah. Registered with an NPI since 2008.

Licensed in
PA, UT
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone: (703) 862-9076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 959965-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence MT193865 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 959965-1205 (UT)
Pediatric Transplant Hepatology Physician Taxonomy 2080T0004X · Licence 959965-1205 (UT)

Record details

NPI number1245486422
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2008
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

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