Rachel Louise Kancianic PA-C

NPI 1689756520 - Physician Assistant - 363AM0700X

NPI Details
NPI 1689756520
Gender Female
Enumeration Date 10/19/2006
Last Updated 11/06/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
30 SHADY LANE
WHITE STONE VA, 22578-0046, US
Phone (804) 435-3133
Fax (804) 435-1311
Business Location
856 J CLYDE MORRIS BLVD
STE A
NEWPORT NEWS VA, 23601-1318, US
Phone (757) 594-4006
Fax (757) 594-2195
Toxanomy
Taxonomy Code 363AM0700X
License State Virginia
License Number 0110-002418
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According to our database, Rachel Louise Kancianic PA-C NPI is 1689756520, taxonomy code is 363AM0700X and license number is 0110-002418, license state is located at Virginia. Rachel Louise Kancianic PA-C physically located at 30 Shady Lane, White Stone VA, 22578-0046. NPI Number Rachel Louise Kancianic PA-C has the Individual type.

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1689756520 NPI number is provided on an as is basis without warranty of any kind. 1689756520 is maintained by the National Plan & Provider Enumeration System. The contents of Rachel Louise Kancianic PA-C are for informational purposes only.