Individual
DR. KATIE H CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 TROY DR, MADISON, WI 53704-1521
(608) 301-1000
(608) 301-1390
Mailing address
5618 FRASER CIR APT 319, MADISON, WI 53718-4414
(218) 213-2281
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
61609
WI
283Q00000X
Psychiatric Hospital
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2012
Last updated
03/17/2025
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