Kaye B Cannon, OTRL CHT
Occupational Therapist, Hand in Tupelo, MS. Individual provider (NPI-1).
NPI number1972561470
StatusActive
Last updated in NPPESFeb 14, 2019
Details
- NPI
- 1972561470
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kaye B Cannon
- Credential
- OTRL CHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2006
- Last updated
- Feb 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XH1200X | Occupational Therapist, Hand | OTO912 | MS | Yes |
Practice location
1743 Cliff Gookin BlvdTupelo, MS 38801-6723
Phone 662-680-5216 · Fax 662-680-5217
Mailing address
1743 Cliff Gookin BlvdTupelo, MS 38801-6723
Phone 662-680-5216 · Fax 662-680-5217
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