NPI 1003505793
Kayla D Cannon
Practice location
- Address
- 7310 Woodward Ave STE 600, Detroit, MI 48202-3165
- Phone
- (313) 896-1444
- Mailing address
- 18460 Kelly Rd, Detroit, MI 48224-1024
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1003505793
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2023
- Record last updated
- 8 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.