Individual
ODYESSE KIRKENDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
757 ARMSTRONG AVE, KANSAS CITY, KS 66101-2701
(913) 233-3300
Mailing address
757 ARMSTRONG AVE, KANSAS CITY, KS 66101-2701
(913) 233-3300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12949
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003913810001
—
KS
Enumeration date
01/19/2023
Last updated
01/19/2023
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