NPI 1194581660 · live from the CMS NPI Registry
Kent Wesley Cannon, Psy.D.
Psychologist, Clinical in Lincoln, NE. National Provider Identifier 1194581660, active.
NPI record
| NPI | 1194581660 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2300 S 16th St, Lincoln, NE 68502 |
| Practice phone | 402-481-5636 |
| Enumerated | February 22, 2024 |
| Last updated | July 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1046 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.