Individual
KEVIN CANNADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8612 BINGHAMPTON PL, UPPER MARLBORO, MD 20772-5122
(202) 683-0575
Mailing address
PO BOX 30124, WASHINGTON, DC 20030-0124
(202) 683-0575
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
10/09/2024
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