Individual
OKUNOLA O OLUOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3592
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3592
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-31336
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200334270A
—
KS
05
—
207400904
—
MO
01
—
35847019
BCBS KANSAS CITY
MO
01
—
927644
FIRSTGUARD
KS
Enumeration date
08/31/2006
Last updated
06/21/2011
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