Individual
MICHAEL LYNN O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7100
(816) 404-7142
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010027803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07274010
—
MS
Enumeration date
05/27/2006
Last updated
05/06/2016
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