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General NPI Number Information
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NPI Number | 1699710616
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Entity Type | Individual
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Provider Name | MICHELLE L PAL MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 2800 CLAY EDWARDS DR
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City | KANSAS CITY
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State | MO
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Zip | 64116-3220
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Country | US
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Telephone | 816-691-5201
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Fax |
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Provider Business Mailing Address
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Address Line | 3906 OAKLAND AVE UNIT 8252
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City | SAINT JOSEPH
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State | MO
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Zip | 64508-7515
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Country | US
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Telephone | 913-642-4900
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Fax | 913-381-0979
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R3M03
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License Number State | MO
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