Canon, Patrick Kevin

Canon, Patrick Kevin is an individual health care provider with primary practice located at 3155 N Union Blvd , Colorado Springs CO 80907-8703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Canon, Patrick Kevin can be contacted via phone (719) 219-1312.

Contact Information

Primary practice address
3155 N Union Blvd Colorado Springs CO 80907-8703
Phone: (719) 219-1312
Fax: (719) 635-3578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0427635 Kansas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 112821 Missouri

Profile Details

NPI number 1467445726
LBN Legal business name Canon, Patrick Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jun 21st, 2011 - about 13 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 1467445726 NPPES
Other P00162955 RAILROAD MEDICARE

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