Cannon, Kahala C
Cannon, Kahala C is an individual health care provider with primary practice located at 5366 Mendenhall Mall , Memphis TN 38115-4505. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Cannon, Kahala C can be contacted via phone (901) 271-6156.Contact Information
Primary practice address
5366 Mendenhall Mall
Memphis TN 38115-4505
Phone: (901) 271-6156
Fax: (901) 271-6195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8044 | Tennessee |
Profile Details
| NPI number | 1770573131 |
|---|---|
| LBN Legal business name | Cannon, Kahala C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Sep 27th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770573131 | NPPES |
| Tennessee | MEDICAID | 3497809 |
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