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Individual

MICHELLE PANNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
(417) 208-3625
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008026922
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144427543
MO
05
200014053
MO
05
201100150A
KS
01
P01342520
RR MEDICARE
MO
Enumeration date
06/29/2007
Last updated
04/30/2026
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