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

Katherine Rose Kavanaugh

Individual provider Athletic Trainer · NPI 1215870258

Katherine Rose Kavanaugh is an Athletic Trainer in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1000 S State St
Ann Arbor, MI 48109-2201
Phone: (734) 647-2583
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)
Athletic Trainer Taxonomy 2255A2300X (MI)

Record details

NPI number1215870258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address52404 Walnut Dr, Chesterfield, MI 48047-4549

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