Individual
KAITLYN M KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5265 E 82ND ST STE 200, INDIANAPOLIS, IN 46250-1627
(317) 542-3723
(317) 999-9660
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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