Individual provider · Type 1 NPI

Kayla Gavin

Specialist · Woodside, NY

NPI number 1063375855 Active

Practice location

5321 Roosevelt Ave
Woodside, NY 11377-8047

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063375855

Kayla Gavin's National Provider Identifier is 1063375855, issued on Dec 8, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Woodside, NY. The record was last updated on Dec 8, 2025.