Individual provider · Type 1 NPI
Kathleen A. Cannon, GNP
Gerontology Nurse Practitioner · Norwich, NY
NPI number
1275614075
Active
Practice location
179 N Broad St
Norwich, NY 13815-1019
Mailing address
310 County Road 2
Greene, NY 13778-2291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 358194 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1275614075
Kathleen A. Cannon, GNP's National Provider Identifier is 1275614075, issued on Oct 18, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Norwich, NY. The record was last updated on Jul 8, 2007.