Individual
KIMBERLY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2033 N PINAL AVE, CASA GRANDE, AZ 85122-1412
(520) 840-1483
Mailing address
2033 N PINAL AVE, CASA GRANDE, AZ 85122-1412
(520) 840-1483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115092
AZ
363LF0000X
Family Nurse Practitioner
Primary
223210
AZ
Other
Enumeration date
10/24/2018
Last updated
04/15/2026
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