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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS KENDALL CANNELLA, M.D.

Active

NICHOLAS KENDALL CANNELLA, M.D. is a Family Medicine healthcare provider located in POPLAR BLUFF, Missouri. NPI 1518999473 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · POPLAR BLUFF, MO

Registration Details

NPI Number
1518999473
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.113915516325 yrs)
Last Updated
Jan 23, 2017
Licenses
ME46677 (FL)
25907-020 (WI)
C-5843 (AR)
23393 (OK)

Practice Information

Address
1500 N WESTWOOD BLVD
SUITE 1
POPLAR BLUFF, MO, 639013318
Browse MO providers · Browse ZIP 63901
Phone
5736864151
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in POPLAR BLUFF, MO

Name Credential NPI
MRS. DOROTHY M MUNCH D.O. 1922003276
JOHN QUINCY ELLIOTT DO 1922090125
DR. JAMES W WILKERSON MD 1285612820
DR. GILBERT D SMITH M.D. 1710965371
MICHAEL J STEVENSON DO 1841279767
BENNIE N TILL MD 1235118928
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.