Cannon, Kathryn Nannette
Cannon, Kathryn Nannette is an sole proprietor health care provider with primary practice located at 2300 Park Ave Ste 200 , Orange Park FL 32073-5571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cannon, Kathryn Nannette can be contacted via phone (904) 296-2900.Contact Information
Primary practice address
2300 Park Ave Ste 200
Orange Park FL 32073-5571
Phone: (904) 296-2900
Fax: (904) 296-1140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9112385 | Florida |
Profile Details
| NPI number | 1518523836 |
|---|---|
| LBN Legal business name | Cannon, Kathryn Nannette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2019 |
| Last updated | Oct 28th, 2019 - about 7 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.
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