Individual
KEENA PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4481 BISHOP ST, DETROIT, MI 48224-2384
(313) 915-1884
Mailing address
4481 BISHOP ST, DETROIT, MI 48224-2384
(313) 915-1884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704240910
MI
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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