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

Kelly Kavanaugh, NP

Individual provider Family Nurse Practitioner · NPI 1609257005

Kelly Kavanaugh, NP is a Nurse Practitioner in Elyria, Ohio. Qualified in 2014, 12 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

710A Leona St
Elyria, OH 44035-2349
Phone: (440) 324-0092
Fax: (440) 324-0093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Kolbe Rd, Lorain, OH 44053-1654 — (440) 960-3237

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17368-NP (OH)

Record details

NPI number1609257005
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elyria