Individual provider · Type 1 NPI

Courtney Leigh Cannon, BHRS

Specialist · Idabel, OK

NPI number 1174819759 Active

Practice location

1407 SE Monroe St
Idabel, OK 74745-6619

Call (580) 612-8045 Map

Fax (580) 286-5185

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174819759

Courtney Leigh Cannon, BHRS's National Provider Identifier is 1174819759, issued on Jun 22, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idabel, OK. The record was last updated on Jun 22, 2011.