Provider Demographics
NPI:1568533362
Name:MCCANTS, KATHLEEN SUE (RN, CNOR,RNFA)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:SUE
Last Name:MCCANTS
Suffix:
Gender:F
Credentials:RN, CNOR,RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 IDAHO STREET
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2935
Mailing Address - Country:US
Mailing Address - Phone:541-482-9323
Mailing Address - Fax:
Practice Address - Street 1:269 IDAHO ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2935
Practice Address - Country:US
Practice Address - Phone:541-482-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant