Individual
DR. THOMAS KANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
828 GREENBRIER PKWY STE 210, CHESAPEAKE, VA 23320-3684
(757) 547-9007
(757) 548-1928
Mailing address
828 GREENBRIER PKWY STE 210, CHESAPEAKE, VA 23320-3684
(757) 547-9007
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024172850
VA
Other
Enumeration date
08/24/2015
Last updated
10/27/2015
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