Cannon, Brady

Cannon, Brady is an sole proprietor health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Cannon, Brady can be contacted via phone (816) 781-7200.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 792-7196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2015033276 Missouri

Profile Details

NPI number 1801265095
LBN Legal business name Cannon, Brady
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2015
Last updated Dec 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801265095 NPPES
Missouri Other 57687015 BCBS KC
Missouri MEDICAID 910026513 BCBS KC
Missouri Other P02049871 BCBS KC

Popular Providers