KENDALL CANNON NP NPI 1427702331

NPI Information

  • NPI: 1427702331
  • Provider Name: KENDALL CANNON, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 280 DAVID L GOLDFEIN ST BLDG 23
    HOLLOMAN AFB, NM
    ZIP 88330
  • Phone: (575) 572-2778

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NPI Details

Kendall Cannon, NP is a psychiatric/mental health nurse practitioner in Holloman Afb, NM. Kendall Cannon, NP NPI is 1427702331. 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:

280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM
ZIP 88330-273
Phone: (575) 572-2778

The enumeration date for this NPI number is 2/9/2022 and was last updated on 3/10/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR203938MARYLANDYes

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: 11/21/2025

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