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Kellen Cannon
NPI 1447920699 · on the registry since 2021
Practice
- Address
- 9 Lee Airpark Dr Ste 400
Edgewater, MD 21037 - Phone
- (443) 607-1469
- Organisation at this address
- Ati Holding Llc
Ati Holdings, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 212 Rosewick Rd, La Plata, MD
- 1715 N George Mason Dr, Arlington, VA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 208100000X
- Licence states on file
- MD, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland