Individual
MISS SUSAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MSED
Contact information
Practice address
CENTER FOR CHILD HEALTH AND DEVELOPMENT, 3901 RAINBOW BLVD., MAIL STOP 4003, KANSAS CITY, KS 66160-0001
(913) 588-5588
(913) 588-5916
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 492-1201
(913) 588-5916
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
1100740
KS
Other
Enumeration date
01/30/2007
Last updated
07/15/2014
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