Cannon, Kathleen A

Cannon, Kathleen A is an individual health care provider with primary practice located at 179 N Broad St , Norwich NY 13815-1019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Cannon, Kathleen A can be contacted via phone (607) 337-4111.

Contact Information

Primary practice address
179 N Broad St Norwich NY 13815-1019
Phone: (607) 337-4111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 358194 New York

Profile Details

NPI number 1275614075
LBN Legal business name Cannon, Kathleen A
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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