Provider Demographics
NPI:1437575446
Name:KANAGY, BRITTANY W (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:W
Last Name:KANAGY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11015 ELLENTON ST
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-7307
Mailing Address - Country:US
Mailing Address - Phone:803-541-1061
Mailing Address - Fax:803-541-1066
Practice Address - Street 1:11015 ELLENTON ST
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-7307
Practice Address - Country:US
Practice Address - Phone:803-541-1061
Practice Address - Fax:803-541-1066
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC215657163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health