Penelope Lois Knochel
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Palmyra, MO
NPI 1487778486 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487778486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Practice address
- 7121 County Road 336
Palmyra, MO 63461-2221 - Phone
- (573) 769-2845
- NPI assigned
- Mar 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
7121 County Road 336
Palmyra, MO 63461-2221
Mailing address
7121 County Road 336
Palmyra, MO 63461-2221
Phone (573) 769-2845
Other providers in Palmyra, MO
- Hb4Therapy, LLC
- K.B. Therapy, Inc.
- Ruthann Kiehl
- James Ryan King
- Traci L. Kline
- David J Knorr
- Jessica Zaza Kohlmeier
- William Thomas Lemons
- Adrienne Lynn
- Marion Co. Nursing Home District
All providers in Palmyra, MO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.