Individual
MRS. KANDICE KLOREN KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC NP
Contact information
Practice address
205 HUDSON ST FL 9, NEW YORK, NY 10013-1810
(914) 517-0058
Mailing address
205 HUDSON ST FL 9, NEW YORK, NY 10013-1810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406724
NY
Other
Enumeration date
02/03/2010
Last updated
09/09/2025
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