KATHLEEN A CANNON GNP NPI 1275614075

NPI Information

NPI: 1275614075
Provider Name: KATHLEEN A CANNON, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
179 N BROAD ST
NORWICH, NY
ZIP 13815
Phone: (607) 337-4111
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Kathleen A Cannon, GNP is a gerontology nurse practitioner in Norwich, NY. Kathleen A Cannon, GNP NPI is 1275614075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

179 N BROAD ST
NORWICH, NY
ZIP 13815-019
Phone: (607) 337-4111

The enumeration date for this NPI number is 10/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	358194	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S59410	MEDICARE UPIN	NEW YORK
2	BB5837	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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