KELLY CANNON (NPI# 1801494844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801494844 |
| Entity Type | Individual |
| Full Name | KELLY CANNON |
| Practice Address |
83 Brokaw Blvd Plainfield NJ 07063-1067 |
| Practice Telephone | 8563839831 |
| Mailing Telephone | 8563839831 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18KT01217200 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780004 | Kelly A Cannon | Behavior Technician | 12537 Moon Rd, Brooksville, FL 34613-4154 | 2020-01-31 |
| 1992160451 | Kelly M Cannon | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2015-12-28 |
| 1558521245 | Kelly Schwartzenburg Cannon | Psychiatry & Neurology | 7777 Hennessy Blvd, Suite 6000, Baton Rouge, LA 70808-4300 | 2008-06-16 |
| 1891885661 | Kelly E Cannon | Nurse Anesthetist, Certified Registered | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2006-10-13 |
| Street Address |
83 BROKAW BLVD |
| City | PLAINFIELD |
| State | NJ |
| Zip Code | 07063-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487850319 | Nazima Abrarova | Obstetrics & Gynecology | 1700-58 Myrtle Ave., Plainfield, NJ 07063 | 2007-06-26 |
| 1316981707 | Neighborhood Health Services Corporation | Specialist | 1700-58 Myrtle Avenue, Plainfield, NJ 07063 | 2006-06-15 |
| 1639688351 | Empire Specialty Pharmacy | Pharmacy | 6509 Bergenline Ave, West New York, NJ 07063 | 2017-09-26 |
| 1932142775 | Sebika Basu | Pediatrics | 1700 Myrtle Ave, Plainfield, NJ 07063-1000 | 2006-06-13 |
| 1215351689 | Jenneh A. Mustapha | Registered Nurse | 1700 Myrtle Ave, Plainfield, NJ 07063-1000 | 2014-02-06 |
| 1881968261 | Genevieve Nwigwe | Internal Medicine | 1700 Myrtle Ave, Plainfield, NJ 07063-1000 | 2012-03-01 |
| 1114233194 | Tejal Rana | Optometrist | 1700 Myrtle Ave, Plainfield, NJ 07063-1000 | 2010-08-27 |
| 1497085062 | Yede B Dennis | Dentist | 1700 Myrtle Ave, 58, Plainfield, NJ 07063-1000 | 2010-01-05 |
| 1053548412 | Barbara Durandis | Dentist | 1700 Myrtle Ave, 58, Plainfield, NJ 07063-1000 | 2009-06-12 |
| 1215193248 | Traci Morris | Advanced Practice Midwife | 1700 Myrtle Ave, Plainfield, NJ 07063-1000 | 2008-07-29 |
| Find all providers in zip 07063 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300709 | Jennifer M Wheaton Forest | Massage Therapist | 21125 W Braxton Ln, Plainfield, IL 60544-7659 | 2019-11-12 |
| 1972038081 | Karol Zawol | Massage Therapist | 14105 S Oakdale Cir, Plainfield, IL 60544-7065 | 2017-04-26 |
| 1194148528 | Mary Copeland | Massage Therapist | 1801 Michael Dr N, Plainfield, IN 46168-2095 | 2014-01-21 |
| 1174838197 | Andrea Jane Scott | Massage Therapist | 1905 Maple Glen Dr, Plainfield, IL 60586-6637 | 2010-08-13 |
| 1376734376 | Dianna Lynn | Massage Therapist | 2413 Von Esch Rd, Plainfield, IL 60586-9079 | 2007-08-05 |
| 1043871130 | Lakia Reynolds | Massage Therapist | 2680 E Main St, Plainfield, IN 46168-2825 | 2019-06-28 |
| 1184002974 | Carla Elsa Lopez | Massage Therapist | 15412 S Route 59, 118, Plainfield, IL 60544-1979 | 2015-05-12 |
| 1518345560 | Brandon Tejera | Massage Therapist | 15412 S Route 59, #118, Plainfield, IL 60544-1979 | 2015-05-11 |
| 1376921643 | Paola Cruickshank | Massage Therapist | 15412 S Route 59, 118, Plainfield, IL 60544-1979 | 2015-05-07 |
| 1124413588 | Laura Donahue | Massage Therapist | 13550 S Route 30, Lower Level 104, Plainfield, IL 60544-5685 | 2015-04-02 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 07063 |
Please comment or provide details below to improve the information on KELLY CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.