Cannon, Kaye B

Cannon, Kaye B is an individual health care provider with primary practice located at 1743 Cliff Gookin Blvd , Tupelo MS 38801-6723. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Cannon, Kaye B can be contacted via phone (662) 680-5216.

Contact Information

Primary practice address
1743 Cliff Gookin Blvd Tupelo MS 38801-6723
Phone: (662) 680-5216
Fax: (662) 680-5217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OTO912 Mississippi

Profile Details

NPI number 1972561470
LBN Legal business name Cannon, Kaye B
Credentials OTRL CHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 14th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972561470 NPPES
Mississippi MEDICAID 09788312

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