Individual
KATHRYN L CANARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1000
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011093
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2025
Last updated
07/07/2025
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