IndividualActive
Brady Cannon
NPI 1801265095 · Anesthesiologist Assistant · Liberty, MO
Provider details
- NPI number
- 1801265095
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2015033276 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 792-7196
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 804408
Kansas City, MO 64180-4408
Registry dates
- Enumerated
- 2015-09-18
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.