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Individual
MR. RODNEY KENT CANNADAY
Active
Individual
MR. RODNEY KENT CANNADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
232573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119725
CHIP
TX
01
—
232573
REGISTERED NURSE LICENSE
TX
01
—
84095U
BCBS
TX
01
—
P00174856
RR MEDICARE
TX
01
—
TXRN
WORKER'S COMP
TX
01
—
TXRN232573
CHAMPUS
TX
Enumeration date
11/03/2006
Last updated
07/09/2007
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