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DUSTIN CANNON
NPI 1891200036
Peer Specialist in Hopkinsville, KY

Active since December 11, 2017
737B NORTH DRIVE, HOPKINSVILLE, KY 42240(270) 890-1780(270) 890-1789 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dustin Cannon NPPES

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

DUSTIN CANNON (NPI 1891200036) is an individual peer specialist in Hopkinsville, Kentucky and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1891200036
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDUSTIN CANNON
Location Address737B NORTH DRIVEHopkinsville, KY 42240
Mailing Address3999 Fort Campbell BlvdHopkinsville, KY 42240-4929 · (270) 886-2205 · Fax (270) 886-0392
Phone(270) 890-1780
Fax(270) 890-1789
Sole ProprietorNo
Enumeration DateDecember 11, 2017
✔ NPI 1891200036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
737B NORTH DRIVE, Hopkinsville, KY 42240
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN LEE THORE MD
Psychiatry & Neurology (Addiction Psychiatry)
737B NORTH DRIVE
HOPKINSVILLE, KY 42240
Christian County (270) 890-1780
ASHLEY FELTS BOZE LCSW
Social Worker (Clinical)
737B NORTH DRIVE
HOPKINSVILLE, KY 42240
Christian County (270) 890-1780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Cannon's NPI number?

The NPI number for Dustin Cannon is 1891200036. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Dustin Cannon located?

Dustin Cannon practices at 737B North Drive, Hopkinsville, KY 42240. The listed phone number is (270) 890-1780.

What is Dustin Cannon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dustin Cannon was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.