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NPI Code Detail

MEDICARE: KERRY CANNING

MEDICARE: KERRY CANNING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist056009089IL
2225X00000XOccupational Therapist60183411WA

General Provider Information

NPI Number : 1437467693
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY CANNING
Provider Business Mailing Address
First Line : 23400 HIGHWAY 99 UNIT 217
Second Line :
City : EDMONDS
State : WA
Zip : 98026-9341
Country : US
Telephone Number : 708-705-4569
Fax Number :
Provider Business Practice Location Address
First Line : 2445 3RD AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98134-1923
Country : US
Telephone Number : 206-252-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2010
Last Update Date : 08/29/2023

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Directions to “ KERRY CANNING ” Practice Location

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