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Contact Information

KAYE B CANNON, OTRL CHT
1743 CLIFF GOOKIN BLVD
TUPELO, MS38801-6723
 Phone: 662-680-5216
 Fax: 662-680-5217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KAYE B CANNON · (Female)

NPI # 1972561470
Status Active
Credentials OTRL CHT
Entity Individual
Enumeration date 05/03/2006
Last updated 02/14/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MS License # OTO912
  • MS Medicaid 09788312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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