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1851795090
EZENWA KEVIN OSUALA
INDEPENDENCE, MO
NPI
1851795090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2014034210)
Enumeration Date
2014-10-17
Last Update Date
2019-07-22
Business Address
Mr. EZENWA KEVIN OSUALA ARNP
19600 E 39TH ST S
INDEPENDENCE, MO 64057-2301
Phone number: 816-698-7000
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Mailing Address
Mr. EZENWA KEVIN OSUALA ARNP
4600 COLLEGE BLVD STE 103
OVERLAND PARK, KS 66211-1606
Phone number: 913-215-5008
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