Individual
MRS. WENDY LYNN KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 464-5954
(585) 794-5002
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 464-5954
(585) 794-5002
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
419765-1
NY
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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