Individual
KENDALL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 DAVID L GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-2778
Mailing address
3050 WHITE SANDS CT, HOLLOMAN AIR FORCE BASE, NM 88330-8132
(301) 268-3020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R203938
MD
Other
Enumeration date
02/09/2022
Last updated
03/10/2025
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