Whalio Doctors

NPI 1063559284

Susan Cannon, PTDPTMSED

Practitioner Developmental - Behavioral Pediatrics Physician Kansas City, KS

Practice location

Address
Center for Child Health and Development 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160-0001
Phone
(913) 588-5588
Fax
(913) 588-5916
Mailing address
PO Box 411851, Kansas City, MO 64141-1851

Registered specialties

Developmental - Behavioral Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 1100740 (KS)

Registry record

NPI
1063559284
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Jan 2007
Record last updated
15 Jul 2014

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.