Individual
KATHERINE ROSE KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S STATE ST, ANN ARBOR, MI 48109-2201
(734) 647-2583
Mailing address
52404 WALNUT DR, CHESTERFIELD, MI 48047-4549
(586) 515-3044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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