Individual provider · Type 1 NPI

Colette Augustina Kavanaugh, L.E.

Other Technician · Sacramento, CA

NPI number 1245979905 Active

Practice location

1721 Eastern Ave Ste 2
Sacramento, CA 95864-1745

Call (916) 838-8240 Map

Mailing address

3437 Maureen Dr
Sacramento, CA 95821-3114

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X9736 (CA)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1245979905

Colette Augustina Kavanaugh, L.E.'s National Provider Identifier is 1245979905, issued on Jun 1, 2022. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Sacramento, CA. The record was last updated on Apr 30, 2024.