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

Mrs. Tara Lynn Kavanaugh, PA-C

Individual provider Physician Assistant · NPI 1306968482

Mrs. Tara Lynn Kavanaugh, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2003, 23 years ago. Practices with Redrockrehab PLLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland, Nevada and Utah.

Years since qualifying
23
Licensed in
MD, NV, UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5505 S 900 E Ste 240
Murray, UT 84117-7210
Phone: (801) 783-5011
Fax: (801) 746-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10088016-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA1111 (NV)
Physician Assistant Taxonomy 363A00000X · Licence C0003211 (MD)

Record details

NPI number1306968482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Redrockrehab Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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