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KATHERINE ROSE KAVANAUGH
NPI 1215870258
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 13, 2026
1000 S STATE ST, ANN ARBOR, MI 48109(734) 647-2583 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Rose Kavanaugh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE ROSE KAVANAUGH (NPI 1215870258) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1215870258
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHERINE ROSE KAVANAUGH
Location Address1000 S STATE STAnn Arbor, MI 48109-2201
Mailing Address52404 Walnut DrChesterfield, MI 48047-4549 · (586) 515-3044
Phone(734) 647-2583
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1215870258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1000 S STATE ST, Ann Arbor, MI 48109
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN GLEN BOYLS-WHITE ATC
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (734) 763-9948
COLIN DIMENT
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (269) 720-1075
TASUKU KURANE
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5182
MR. ALEXANDER K WONG MS, AT
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (734) 647-1278
RACHEL AMITY
Social Worker (Clinical)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (734) 647-9656
SIERRA TITTLE ATC
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (503) 706-8629
DANIEL TOCCI MS,ATC
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (734) 763-9948
KATELYN ELIZABETH GRIMES MS, ATC
Specialist/Technologist (Athletic Trainer)
1000 S STATE ST
ANN ARBOR, MI 48109
Washtenaw County (804) 201-1728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Kavanaugh's NPI number?

The NPI number for Katherine Kavanaugh is 1215870258. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Katherine Kavanaugh located?

Katherine Kavanaugh practices at 1000 S State St, Ann Arbor, MI 48109. The listed phone number is (734) 647-2583.

What is Katherine Kavanaugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katherine Kavanaugh was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.