Kendall Cannon, NP is a
Nurse Practitioner - Psychiatric/mental Health based in Alamagordo, New Mexico. Kendall Cannon is licensed to practice in Maryland (license number R203938) and her current practice location is
280 1st Street, Holloman Air Force Base, Alamagordo, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 572-2778.
NPI number for Kendall Cannon is 1427702331 and her current mailing address is 3050 White Sands Ct, Holloman Air Force Base, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427702331.
Provider's Profile
Full Name | Kendall Cannon |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 280 1st Street, Alamagordo, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427702331
- Provider Enumeration Date: 02/09/2022
- Last Update Date: 02/10/2022
Medical Identifiers
Medical identifiers for Kendall Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427702331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R203938 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendall Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendall Cannon, NP 3050 White Sands Ct, Holloman Air Force Base, NM 88330-8132 Ph: (301) 268-3020 | Kendall Cannon, NP 280 1st Street, Holloman Air Force Base, Alamagordo, NM 88330 Ph: (575) 572-2778 |
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