Individual
MARSHA A KINGCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4463
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2323240022
KS
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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