Karen Cannon

Individual provider Active NPI Case Manager/Care Coordinator · St Matthews, SC

NPI 1194259564 · NPPES record last updated Apr 12, 2017

Key facts

NPI
1194259564
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
183 Morningside Dr
St Matthews, SC 29135-9226
Phone
(803) 874-1816
Fax
(803) 874-1816
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

183 Morningside Dr
St Matthews, SC 29135-9226

Mailing address

183 Morningside Dr
St Matthews, SC 29135-9226
Phone (803) 874-1816

Other providers in St Matthews, SC

All providers in St Matthews, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.