Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carole Kavanaugh

Individual provider Registered Nurse · NPI 1164099891

Carole Kavanaugh is a Registered Nurse in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

41795 W 12 Mile Rd
Novi, MI 48377-3107
Phone: (249) 449-1655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704285697 (MI)

Record details

NPI number1164099891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address41795 W 12 Mile Rd, Novi, MI 48377-3107

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