Individual
DR. MICHELLE MARIE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 WORNALL RD, ANESTHESIA DEPT, KANSAS CITY, MO 64111-3220
(816) 932-7940
(816) 932-7957
Mailing address
PO BOX 504404, SAINT LOUIS, MO 63150-4404
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2005004470
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
103118
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
2005004470
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100384379
—
WI
01
—
2005004470
MO STATE LICENSE
MO
Enumeration date
07/07/2006
Last updated
11/10/2025
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