Individual
MR. HAROLD C CANNON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E PARRISH AVE, BLDG D SUITE 100, OWENSBORO, KY 42303-1449
(270) 688-1770
(270) 688-1780
Mailing address
2200 E PARRISH AVE, BLDG D SUITE 100, OWENSBORO, KY 42303-1449
(270) 688-1770
(270) 688-1780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01036413A
IN
174400000X
Specialist
22288
KY
207T00000X
Neurological Surgery Physician
Primary
22288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000388450
ANTHEM
KY
05
—
100015240A
—
IN
05
—
64222888
—
KY
Enumeration date
05/24/2005
Last updated
07/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us