Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Cannon

Individual provider Physician Assistant · NPI 1205717147

Kaitlyn Cannon is a Physician Assistant in Parkersburg, West Virginia. Qualified in 2025, 1 year ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

1601 Garfield Ave
Parkersburg, WV 26101-3214
Phone: (304) 424-2988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205717147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Parkersburg