Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH CANNON
Active Sole ProprietorMR. KEITH CANNON is a Bus healthcare provider located in RACINE, Wisconsin. NPI 1508622598 is currently active in the NPPES registry. Verify at CMS.
Bus · RACINE, WI
Registration Details
- NPI Number
- 1508622598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2024 (2.4385831406136 yrs)
- Last Updated
- Feb 26, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
825 OHIO STRACINE, WI, 534052205Browse WI providers · Browse ZIP 53405
- Phone
- 2626728641
- Primary Specialty
-
Bus
343900000X
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.