Davina Kavanaugh's National Provider Identifier (NPI) Details
Davina Kavanaugh, LLPC
NPI: 1295856110
Enumeration Date: 2007-04-02
Last updated: 2009-10-28
Sole Proprietor: YES
Status: active
Postal Address: 3718 OLNEY RD, KALAMAZOO, MI
Phone: 269-344-0747
Primary Practice Address: 148 N RIVERVIEW DR, PARCHMENT, MI
Practice's phone: 269-344-0747