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KYLE CANNADY

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1457733826

Individual Registrant:
 KYLE  CANNADY 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
215 N COLEMAN ST  SWAINSBORO, GA 30401-3530 US
Tel: 478-237-2638  Fax: --

Contact information for business:
215 N COLEMAN ST  SWAINSBORO, GA 30401-3530 US
Tel: 478-237-2638  Fax: 478-237-9138

Registration Information:
NPI: 1457733826
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN221018

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
003169973DGA05




HEALTH CARE JOBS GA - Page 1



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