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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY CANNON

Active Sole Proprietor

KIMBERLY CANNON is a Occupational Therapist healthcare provider located in RICHMOND HILLS, Georgia. NPI 1700282084 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · RICHMOND HILLS, GA

Registration Details

NPI Number
1700282084
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2014 (11.748774210579 yrs)
Last Updated
Mar 21, 2016
Licenses
OT005298 (GA)
8320 (FL)
Sole Proprietor
Yes

Practice Information

Address
27 CARTER STREET
RICHMOND HILLS, GA, 31324
Browse GA providers · Browse ZIP 31324
Phone
8508627227
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist
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.