Individual provider · Type 1 NPI

Christopher Anwar Cannon

Student in an Organized Health Care Education/Training Program · Fort Thomas, KY

NPI number 1891677159 Active

Practice location

660 S Fort Thomas Ave
Fort Thomas, KY 41075-4220

Fax (859) 443-5262

Mailing address

660 S Fort Thomas Ave Apt 3
Fort Thomas, KY 41075-2241

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891677159

Christopher Anwar Cannon's National Provider Identifier is 1891677159, issued on Jul 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Thomas, KY. The record was last updated on Jul 25, 2025.