Cannon, Krystal

Cannon, Krystal is an individual health care provider with primary practice located at 8402 Blackjack Rd , Mount Vernon OH 43050-9193. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Cannon, Krystal can be contacted via phone (740) 397-0442.

Contact Information

Primary practice address
8402 Blackjack Rd Mount Vernon OH 43050-9193
Phone: (740) 397-0442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X W.1700001 Ohio

Profile Details

NPI number 1619493897
LBN Legal business name Cannon, Krystal
Credentials SWA, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2017
Last updated Jul 15th, 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.

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