Individual
MISS KRYSTAL B CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 DODGE ST, BEVERLY, MA 01915-1711
(978) 922-2171
Mailing address
50 DODGE ST, BEVERLY, MA 01915-1711
(978) 922-2171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2614
MA
Other
Enumeration date
10/03/2008
Last updated
12/22/2025
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