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Individual

KYLE CANNADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-2638
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-2638
(478) 237-9138

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN221018
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003169973D
GA
Enumeration date
06/22/2015
Last updated
10/21/2025
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