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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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.