Mackenzie Blaine Canon

NPI #1356200927 in Shelbyville, Tennessee

Provider Information

NPI Number: 1356200927
Entity Type: Individual
Name: Mackenzie Blaine Canon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 20, 2026
Last Updated: Jan 20, 2026

Practice Location

Address: 204 NARROWS RD
City: Shelbyville
State: Tennessee
ZIP Code: 37160-5008
Phone: (931) 808-1540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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