Individual
PATRICIA KANAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
112 W 5TH ST, LEADVILLE, CO 80461-3510
(719) 486-0118
(719) 486-4168
Mailing address
112 W 5TH ST, PO BOX 626, LEADVILLE, CO 80461-3510
(719) 486-0118
(719) 486-4168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52550
CO
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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