Provider Demographics
NPI:1457713018
Name:HARRIGAN, KADY
Entity type:Individual
Prefix:MISS
First Name:KADY
Middle Name:
Last Name:HARRIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3032
Mailing Address - Country:US
Mailing Address - Phone:954-256-3197
Mailing Address - Fax:
Practice Address - Street 1:542 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3032
Practice Address - Country:US
Practice Address - Phone:954-256-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator