Katrina Terese Cannon in Davenport - Geriatric Medicine
Katrina Terese Cannon - NPI 1184734451
Katrina Terese Cannon is a Geriatric Medicine in Davenport, Iowa. Katrina Terese Cannon practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Katrina Terese Cannon is 1184734451. The last update date is 2011-08-01.
Katrina Terese Cannon's current location address is 1345 W Central Park Ave, Davenport, Iowa. You can contact this provider via phone number 5634214400 and fax number 5634214449. The mailing address for Katrina Terese Cannon is 1345 W Central Park Ave, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katrina Terese Cannon |
|---|---|
| Address | 1345 W Central Park Ave, Davenport, Iowa |
| Phone Number | 5634214400 |
| Fax Number | 5634214449 |
| Sole Proprietor | N |
| Credentials | MD, MS, CM |
NPI Number Detail
| NPI Number | 1184734451 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2011-08-01 |
Provider Mailing Address Detail
| Address | 1345 W Central Park Ave |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528041844 |
| Phone Number | 5634214400 |
| Fax Number | 5634214449 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 35725 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 732552 | IA | -- | |
| 26710 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the Katrina Terese Cannon's 1184734451?
The Katrina Terese Cannon's NPI (National Provider Identifier) Number is 1184734451. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Katrina Terese Cannon is geographically located?
The Katrina Terese Cannon is physically situated at the following location: 1345 W Central Park Ave, Davenport, IA, 528041844.
What is Katrina Terese Cannon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Katrina Terese Cannon's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.
When did the Katrina Terese Cannon receive its 1184734451?
The Katrina Terese Cannon was issued its 1184734451 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Katrina Terese Cannon's details last updated?
The information pertaining to the Katrina Terese Cannon, including its address, specialty, and other details, was most recently updated on 2011-08-01.
NPI Number: 1063415297
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