IZEGBEA M. CANNON

LOUISVILLE, KY
NPI1013389022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3009546)
Enumeration Date2015-10-29
Last Update Date2015-10-29
Business Address
-- IZEGBEA M. CANNON
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
Mailing Address
-- IZEGBEA M. CANNON
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
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