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Contact Information

KRISTEN L CANADY, PA-C
610 OCEAN HWY W
SUPPLY, NC28462-4048
 Phone: 910-356-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTEN L CANADY · (Female)

NPI # 1336780147
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/02/2019
Last updated 05/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 0010-09492
Hospital affiliation(s)
  • BRUNSWICK COMMUNITY HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DR PO BOX 139
    SUPPLY, NC 28462
  • J ARTHUR DOSHER MEMORIAL HOSPITAL - (Critical Access)
    924 HOWE ST
    SOUTHPORT, NC 28461
  • LORIS COMMUNITY HOSPITAL - (Acute Care)
    3655 MITCHELL STREET
    LORIS, SC 29569
  • NEW HANOVER REGIONAL MEDICAL CENTER - (Acute Care)
    2131 S 17TH ST BOX 9000
    WILMINGTON, NC 28402
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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