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

Mrs. Kimberly Cannon, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1578940656

Mrs. Kimberly Cannon, AGPCNP-BC is a Nurse Practitioner in Saint Clair Shores, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

28315 Harper Ave
Saint Clair Shores, MI 48081-1687
Phone: (586) 552-1710
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704259824 (MI)

Record details

NPI number1578940656
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedApril 28, 2015
Last updated in NPPESApril 28, 2015

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