Doctor Name: | MR. HAROLD C CANNON |
NPI Number: | 1063415826 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01036413A |
Business Practice Address: | 2200 E Parrish Ave Bldg D Suite 100 Owensboro, KY - 423031449 |
Business Phone Number: | 2706881770 |
Business Fax Number: | 2706881780 |
Mailing Address: | 2200 E Parrish Ave, Bldg D Suite 100 OWENSBORO |
State: | KY |
Postal Code: | 423031449 |
Phone Number: | 2706881770 |
Fax Number: | 2706881780 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01036413A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |