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:
Health care specialties
Specialty | Code | License # | 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 12 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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