Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATRINA TERESE CANNON, MD, MS, CMD
ActiveKATRINA TERESE CANNON, MD, MS, CMD is a Gastroenterology healthcare provider located in DAVENPORT, Iowa. NPI 1184734451 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · DAVENPORT, IA
Registration Details
- NPI Number
- 1184734451
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.977811122716 yrs)
- Last Updated
- Aug 1, 2011
- Licenses
-
35725 (IA)35725 (IA)
Practice Information
- Address
-
1345 W CENTRAL PARK AVEGENESIS FAMILY MEDICINE CENTERDAVENPORT, IA, 528041844Browse IA providers · Browse ZIP 52804
- Phone
- 5634214400
- Fax
- 5634214449
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Gastroenterology
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.