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Individual

KARMEN M OLBERDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2370 VINTAGE CT, EXCELSIOR SPRINGS, MO 64024-8011
(816) 630-2032
(816) 630-2028
Mailing address
2370 VINTAGE CT, EXCELSIOR SPRINGS, MO 64024-8011
(816) 630-2032
(816) 630-2028

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
154847
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578690202
MO
01
MA4170021
MEDICARE PTAN
MO
01
P01193407
MEDICARE RAILROAD
MO
Enumeration date
02/28/2007
Last updated
10/24/2017
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