Individual
DR. MICHELLE MARIE KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
04-44357
KS
2080P0205X
Pediatric Endocrinology Physician
Primary
2018016662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15306024100907
PECOS DCN
VA
Enumeration date
04/06/2014
Last updated
01/20/2026
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