Cannon, Kelly
Cannon, Kelly is an sole proprietor health care provider with primary practice located at 83 Brokaw Blvd , Plainfield NJ 07063-1067. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Cannon, Kelly can be contacted via phone (856) 383-9831.Contact Information
Primary practice address
83 Brokaw Blvd
Plainfield NJ 07063-1067
Phone: (856) 383-9831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 18KT01217200 | New Jersey |
Profile Details
| NPI number | 1801494844 |
|---|---|
| LBN Legal business name | Cannon, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2020 |
| Last updated | Jan 10th, 2025 - about last year |
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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