Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES KELLY CANNON, LAC, MACOM
ActiveCHARLES KELLY CANNON, LAC, MACOM is a Acupuncturist healthcare provider located in MOSIER, Oregon. NPI 1043557309 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · MOSIER, OR
Registration Details
- NPI Number
- 1043557309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2013 (13.635627934863 yrs)
- Last Updated
- Jan 7, 2013
- License
-
AC159892 (OR)
Practice Information
- Address
-
302 E 2ND AVEMOSIER, OR, 970401500Browse OR providers · Browse ZIP 97040
- Phone
- 5413868767
- Primary Specialty
-
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.