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

Colette Augustina Kavanaugh, LE

Individual provider Other Technician · NPI 1245979905

Colette Augustina Kavanaugh, LE is an Other Technician in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1721 Eastern Ave Ste 2
Sacramento, CA 95864-1745
Phone: (916) 838-8240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 9736 (CA)

Record details

NPI number1245979905
Entity typeIndividual (Type 1)
GenderFemale
Credentials LE
Sole proprietorYes
NPI enumeratedJune 1, 2022
Last updated in NPPESApril 30, 2024
Certification dateJune 1, 2022
Mailing address3437 Maureen Dr, Sacramento, CA 95821-3114

Other providers in Sacramento