Kimberley Kavanaugh, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NO08685200 Issued in NJ

Practice address

326 Penn St FL 2
Camden, NJ 08102-1410

Phone

(856) 225-6005

NPI assigned

Jun 14, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberley Walton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1124861513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E KENNEDY DR",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212748",
            "telephone_number": "856-816-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PENN ST FL 2",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021410",
            "telephone_number": "856-225-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "KIMBERLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO08685200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "WALTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Katz, MD
• Isabel Kaufman, LSW
• Sheila Kaufman, CNM
• Amanpreet Kaur, MSN, AGPCNP-BC, OCN
• Amanpreet Kaur, APN
• Alison Kaye, MD
• Gary David Kaye, D.D.S
• Robert Kazelskis, CRNA
• Kumail S Kazim, DO
• Izaz Kazmi

• Registered Nurse in Camden, NJ
• Providers in Camden, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.