Provider Demographics
NPI:1912162736
Name:KA-NAN ENTERPRISES
Entity Type:Organization
Organization Name:KA-NAN ENTERPRISES
Other - Org Name:KAYNAN NATURAL THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:STICKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:717-896-8626
Mailing Address - Street 1:PO BOX 618
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-0618
Mailing Address - Country:US
Mailing Address - Phone:717-896-8626
Mailing Address - Fax:
Practice Address - Street 1:400 N SECOND ST
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032
Practice Address - Country:US
Practice Address - Phone:717-896-8626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty