Kaitlyn Cannon
Physician Assistant in Parkersburg, WV. Individual provider (NPI-1).
NPI number1205717147
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1205717147
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Cannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2025
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1601 Garfield AveParkersburg, WV 26101-3214
Phone 304-424-2988
Mailing address
1601 Garfield AveParkersburg, WV 26101-3214
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