Individual
KATHY KAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 NW 29TH MNR, POMPANO BEACH, FL 33069-1031
(954) 229-1369
Mailing address
4151 SANORA LN, ORMOND BEACH, FL 32174-9335
(407) 579-3123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 871942
FL
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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