Individual
MR. ROBERT WINSTON PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
613 A WATAUGA STREET, DR ROBERT W PANNELL, KINGSPORT, TN 37660
(423) 246-1963
(423) 246-6452
Mailing address
613 A WATAUGA STREET, ATTENTION DR ROBERT W PANNELL, KINGSPORT, TN 37660
(423) 246-1963
(423) 246-6452
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC0000000340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020645
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/10/2006
Last updated
07/08/2007
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