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

Mrs. Kelly Kavanaugh, MSED

Individual provider Early Intervention Provider Agency · NPI 1790046696

Mrs. Kelly Kavanaugh, MSED is an Early Intervention Provider Agency in East Northport, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

621 7th Ave
East Northport, NY 11731-2329
Phone: (631) 754-7778
Show map & directions

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

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1790046696
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 6, 2012
Last updated in NPPESJune 6, 2012

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