KATRINA TERESE CANNON MD, MS, CMD
NPI 1184734451
Internal Medicine - Geriatric Medicine in Davenport, IA

Q: What is Katrina Cannon's NPI number?

The NPI number for Katrina Cannon is 1184734451. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Katrina Cannon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Katrina Cannon was last updated on August 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006

1345 W CENTRAL PARK AVE, GENESIS FAMILY MEDICINE CENTER, DAVENPORT, IA 52804(563) 421-4400(563) 421-4449 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Katrina Terese Cannon Md, Ms, Cmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA TERESE CANNON MD, MS, CMD (NPI 1184734451) is an individual geriatric medicine provider in Davenport, Iowa, licensed in Iowa (35725) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184734451

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameKATRINA TERESE CANNONCredential: MD, MS, CMD

Location Address1345 W CENTRAL PARK AVE, GENESIS FAMILY MEDICINE CENTERDavenport, IA 52804-1844

Mailing Address1345 W Central Park Ave, Genesis Family Medicine CenterDavenport, IA 52804-1844 · (563) 421-4400 · Fax (563) 421-4449

Phone(563) 421-4400

Fax(563) 421-4449

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateAugust 1, 2011

✔ NPI 1184734451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in IA · 35725

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35725 (IA)

1345 W CENTRAL PARK AVE, Davenport, IA 52804

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