Cannella, Nicholas Kendall

Cannella, Nicholas Kendall is an individual health care provider with primary practice located at 1500 N Westwood Blvd Suite 1, Poplar Bluff MO 63901-3318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cannella, Nicholas Kendall can be contacted via phone (573) 686-4151.

Contact Information

Primary practice address
1500 N Westwood Blvd Suite 1 Poplar Bluff MO 63901-3318
Phone: (573) 686-4151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME46677 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25907-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5843 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23393 Oklahoma

Profile Details

NPI number 1518999473
LBN Legal business name Cannella, Nicholas Kendall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 23rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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