Kavanaugh, Kelly

Kavanaugh, Kelly is an sole proprietor health care provider with primary practice located at 621 7Th Ave , East Northport NY 11731-2329. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Kavanaugh, Kelly can be contacted via phone (631) 754-7778.

Contact Information

Primary practice address
621 7Th Ave East Northport NY 11731-2329
Phone: (631) 754-7778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1790046696
LBN Legal business name Kavanaugh, Kelly
Credentials M.S. ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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