MEDICARE: MARY KAVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1053772517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY KAVA

Provider Business Mailing Address
First Line	:	PO BOX 223
Second Line	:
City	:	CASTLE DALE
State	:	UT
Zip	:	84513-0223
Country	:	US
Telephone Number	:	435-381-5607
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 EAST 300 SOUTH
Second Line	:
City	:	CASTLE DALE
State	:	UT
Zip	:	84513-0223
Country	:	US
Telephone Number	:	435-381-5607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/11/2016

Similar Medicare Providers

1457343725 — SCOTT R LABRUM PT
Practice Location Address:

150 E MAIN ST
CASTLE DALE, UT
84513

Practice Phone: 435-381-5100
Practice Fax: 435-381-5099

1912981036 — DR. STEVEN ORLAND TUTTLE O.D.
Practice Location Address:

190 EAST MAIN STREET
CASTLE DALE, UT
84513

Practice Phone: 435-381-2040
Practice Fax: 435-381-2475

1972568152 — JENNIFER THOMAS LCSW
Practice Location Address:

45 EAST 100 SOUTH
CASTLE DALE, UT
84513

Practice Phone: 435-381-2432
Practice Fax: 435-381-2542

1174551246 — CASTLE VALLEY EYECARE PC
Practice Location Address:

190 EAST MAIN
CASTLE DALE, UT
84513-0785

Practice Phone: 435-381-2040
Practice Fax:

1528151388 — NIELSON'S PHARMACY, INC
Practice Location Address:

590 E MAIN ST
CASTLE DALE, UT
84513-4503

Practice Phone: 435-381-5464
Practice Fax: 435-381-5316

1619065943 — DR. OTTO FREDERICK DICKMAN IV M.D.
Practice Location Address:

90 WEST MAIN , EMERY MEDICAL CENTER
CASTLE DALE, UT
84513-0607

Practice Phone: 435-381-2305
Practice Fax: 435-381-4535

Directions to “ MARY KAVA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.