Cannon, Kelly

Cannon, Kelly is an sole proprietor health care provider with primary practice located at 83 Brokaw Blvd , Plainfield NJ 07063-1067. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Cannon, Kelly can be contacted via phone (856) 383-9831.

Contact Information

Primary practice address
83 Brokaw Blvd Plainfield NJ 07063-1067
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT01217200 New Jersey

Profile Details

NPI number 1801494844
LBN Legal business name Cannon, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2020
Last updated Oct 13th, 2020 - 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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