NPI 1063559284 · live from the CMS NPI Registry
Susan Cannon, PT, DPT, MSEd
Pediatrics, Developmental - Behavioral Pediatrics in Kansas City, KS. National Provider Identifier 1063559284, active.
NPI record
| NPI | 1063559284 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Developmental - Behavioral Pediatrics 2080P0006X |
| Practice location | Center For Child Health And Development, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160 |
| Practice phone | 913-588-5588 |
| Mailing address | Po Box 411851, Kansas City, MO 64141 |
| Enumerated | January 30, 2007 |
| Last updated | July 15, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics primary | 2080P0006X | 1100740 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.