Kimberly Cannon, is a
Occupational Therapist based in Richmond Hills, Georgia. Kimberly Cannon is licensed to practice in Florida (license number 8320) and her current practice location is
27 Carter Street, Richmond Hills, Georgia. She can be reached at her office (for appointments etc.) via phone at
(850) 862-7227.
NPI number for Kimberly Cannon is 1700282084 and her current mailing address is 27 Carter Street, Richmond Hills, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700282084.
Healthcare Provider's Profile
| Full Name | Kimberly Cannon |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 27 Carter Street, Richmond Hills, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700282084
- Provider Enumeration Date: 11/13/2014
- Last Update Date: 03/21/2016
Medical Identifiers
Medical identifiers for Kimberly Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700282084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | OT005298 (Georgia) | Secondary |
| 225X00000X | Occupational Therapist | 8320 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kimberly Cannon, 27 Carter Street, Richmond Hills, GA 31324 Ph: (850) 862-7227 | Kimberly Cannon, 27 Carter Street, Richmond Hills, GA 31324 Ph: (850) 862-7227 |
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