National Provider Identifier
Wendy Lynn Kavanagh, REGISTERED NURSE
Wendy Lynn Kavanagh, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Local Education Agency (LEA) in Fairport, NY and a listed phone number of (585) 464-5954.
Profile Overview
- NPI
- 1467720433
- Provider Type
- Individual
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- December 06, 2011
- Last Updated
- December 06, 2011
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 464-5954
Specialties
- Local Education Agency (LEA) (251300000X)
Full Record
- NPI
- 1467720433
- Entity Type
- Individual
- Last Name
- Kavanagh
- First Name
- Wendy
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- REGISTERED NURSE
- Provider Other Last Name
- Butler
- Provider Other First Name
- Wendy
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- REGISTERED NURSE
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 464-5954
- Mailing Fax
- (585) 794-5002
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 464-5954
- Practice Fax
- (585) 794-5002
- Enumeration Date
- December 06, 2011
- Last Updated
- December 06, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Local Education Agency (LEA) (251300000X)