Cannon, Kenshawna

Cannon, Kenshawna is an individual health care provider with primary practice located at 2815 E 130Th St Apt 606A , Cleveland OH 44120-5905. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Cannon, Kenshawna can be contacted via phone (216) 854-1801.

Contact Information

Primary practice address
2815 E 130Th St Apt 606A Cleveland OH 44120-5905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1861159535
LBN Legal business name Cannon, Kenshawna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 17th, 2021 - about 3 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 1861159535 NPPES
Ohio MEDICAID UE645190

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