Individual provider · Type 1 NPI

Kristen Leeann Canady, PA-C

Physician Assistant · Supply, NC

NPI number 1336780147 Active

Practice location

610 Ocean Hwy W
Supply, NC 28462-4048

Call (910) 356-6100 Map

Mailing address

5864 N Rhett Ave Apt 5B
Hanahan, SC 29410-2531

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X0010-09492 (NC)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336780147

Kristen Leeann Canady, PA-C's National Provider Identifier is 1336780147, issued on Oct 2, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Supply, NC. The record was last updated on May 5, 2025.