Individual
KEONA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TBA,FSD IBCLC,CHW
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(314) 591-3118
Mailing address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(314) 591-3118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
175M00000X
Lay Midwife
—
—
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
MBQ0171
GA
225700000X
Massage Therapist
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374J00000X
Doula
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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