Dr Christopher Canon, PHD is a
Psychologist - Clinical based in Willisburg, Kentucky. Dr Christopher Canon is licensed to practice in Kentucky (license number KY-00837) and his current practice location is
2084 Main St, Willisburg, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 375-9200.
NPI number for Dr Christopher Canon is 1457742769 and his current mailing address is 4230 Glens Creek Rd, Willisburg, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457742769.
Healthcare Provider's Profile
Full Name | Dr Christopher Canon |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2084 Main St, Willisburg, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457742769
- Provider Enumeration Date: 02/09/2015
- Last Update Date: 02/09/2015
Medical Identifiers
Medical identifiers for Dr Christopher Canon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457742769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | KY-00837 (Kentucky) | 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. Dr Christopher Canon 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 |
Dr Christopher Canon, PHD 4230 Glens Creek Rd, Willisburg, KY 40078-8168 Ph: (859) 797-6413 | Dr Christopher Canon, PHD 2084 Main St, Willisburg, KY 40078-8199 Ph: (859) 375-9200 |
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