Keith Cannon is a Non-emergency Medical Transport (VAN) based in Cordova, WI. Keith Cannon practices in Racine, WI. The NPI Number for Keith Cannon is 1508622598 and holds a License No. (Wisconsin).
The current practice location address for Keith Cannon is 825 Ohio St, Racine, WI and can be reached out via phone at 262-672-8641.
Location: 825 Ohio St, Racine, WI, 38016-0664
Provider Profile Details
NPI Number
1508622598
Provider Name
Keith Cannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
825 Ohio St, Racine, WI, 38016-0664
Phone Number
262-672-8641
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
825 Ohio St
City
State
Zip
53405-2205
Phone Number
262-672-8641
Fax Number
Provider Business Mailing Address Details
Address
825 Ohio St
City
State
Zip
53405-2205
Phone Number
262-672-8641
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
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Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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