Individual
MS. DIANA M. KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 366-0664
(203) 752-8785
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 752-2856
(203) 752-8785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4472
CT
Other
Enumeration date
09/21/2010
Last updated
07/09/2014
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