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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTEN LEEANN CANADY, PA-C

Active Sole Proprietor

KRISTEN LEEANN CANADY, PA-C is a Physician Assistant healthcare provider located in SUPPLY, North Carolina. NPI 1336780147 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUPPLY, NC

Registration Details

NPI Number
1336780147
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2019 (6.8580910454873 yrs)
Last Updated
May 5, 2025
License
0010-09492 (NC)
Sole Proprietor
Yes

Practice Information

Address
610 OCEAN HWY W
SUPPLY, NC, 284624048
Browse NC providers · Browse ZIP 28462
Phone
9103566100
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SUPPLY, NC

Name Credential NPI
KIRSTEN M SCHNEIDER PA-C 1245206341
HEATHER MERROW PAC 1508834045
MRS. AMY SUE KELLY PA-C 1467486092
CURRIN LOUISE BENDER PA 1427191667
MS. MEAGHAN RAE SCARLETT RPAC 1023315611
JONATHAN NICHOLAS DESILLIER PA-C 1194202879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.