Individual
STEPHEN MICHAEL KANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 VETERANS UNITED DR, COLUMBIA, MO 65201-4236
(573) 884-6052
(573) 884-1151
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2000166652
MO
103TC0700X
Clinical Psychologist
2000166652
MO
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2000166652
MO
Other
Enumeration date
04/13/2006
Last updated
03/23/2026
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