Cavanaugh, Kaitlyn Anne

Cavanaugh, Kaitlyn Anne is an sole proprietor health care provider with primary practice located at 19769 Summerset Ln , Parker CO 80138-8077. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing is her primary health care specialty. Cavanaugh, Kaitlyn Anne can be contacted via phone (623) 606-6599.

Contact Information

Primary practice address
19769 Summerset Ln Parker CO 80138-8077
Phone: (623) 606-6599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 0004034 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X 0004034 Colorado

Profile Details

NPI number 1063762920
LBN Legal business name Cavanaugh, Kaitlyn Anne
Credentials MS, OTR/L, CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Jul 8th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063762920 NPPES
Colorado MEDICAID 9000165902

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