# MRS. ANNIE VINCENT KANNARKAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174964183
- **Gender:** F
- **Credential:** PHYSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 7527 | GA | — |
| 363A00000X | Physician Assistant | C06483 | MD | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7527 | GA PHYSICIAN ASSISTANT LICENSE | GA |
| 01 | — | C06483 | MD PHYSICIAN ASSISTANT LICENSE | MD |