Individual provider · Type 1 NPI

Katherine Rose Kavanaugh

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1215870258 Active

Practice location

1000 S State St
Ann Arbor, MI 48109-2201

Call (734) 647-2583 Map

Mailing address

52404 Walnut Dr
Chesterfield, MI 48047-4549

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

29 other providers at this address

Other student in an organized health care education/training program providers in Ann Arbor

See all in Ann Arbor →

About NPI 1215870258

Katherine Rose Kavanaugh's National Provider Identifier is 1215870258, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Apr 13, 2026.