Individual
KEUNNA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3600 W PARMER LN, AUSTIN, TX 78727-4107
(512) 368-9370
Mailing address
1573 KLEBERG DR, FORNEY, TX 75126-1369
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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