Individual
JASON ORALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
8631 N CHARLOTTE ST, KANSAS CITY, MO 64155-2638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78819-112
KS
Other
Enumeration date
12/19/2019
Last updated
02/07/2020
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