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Individual

CHRISTOPHER ANWAR CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
660 S FORT THOMAS AVE, FORT THOMAS, KY 41075-4220
(859) 443-5262
(859) 443-5262
Mailing address
660 S FORT THOMAS AVE APT 3, FORT THOMAS, KY 41075-2241
(859) 443-5262

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/25/2025
Last updated
07/25/2025
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