Individual
ANDREA MARIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 BRECKENRIDGE ST, OWENSBORO, KY 42303-0803
(270) 688-3600
Mailing address
1020 BRECKENRIDGE ST, OWENSBORO, KY 42303-0803
(270) 688-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1180555
KY
363LF0000X
Family Nurse Practitioner
Primary
4060738
KY
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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