Individual
EMEKA JACOB OGWUDILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 965-1100
Mailing address
14913 GRAND SUMMIT BLVD, APT 101, GRANDVIEW, MO 64030-2482
(816) 585-2666
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017007164
MO
Other
Enumeration date
03/27/2017
Last updated
07/21/2022
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