Provider Demographics
NPI:1568852721
Name:KANN, MEGAN REID (PA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:REID
Last Name:KANN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:8900 N KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8900 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:786-596-2000
Practice Address - Fax:305-279-7778
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2018-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9108465363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant