Patricia Kanagy, R.N.

Individual provider Active NPI Registered Nurse · Leadville, CO

NPI 1447424775 · NPPES record last updated Apr 17, 2008

Key facts

NPI
1447424775
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
52550 (CO)
Practice address
112 W 5TH St
Leadville, CO 80461-3510
Phone
(719) 486-0118
Fax
(719) 486-4168
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
52550COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Government Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 52550 CO Yes

Addresses

Primary practice location

112 W 5TH St
Leadville, CO 80461-3510

Mailing address

112 W 5TH St
PO Box 626
Leadville, CO 80461-3510
Phone (719) 486-0118

Other providers in Leadville, CO

All providers in Leadville, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.