Individual
DR. INNOCENT OKWUDILI ANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 BURLINGTON ST STE 200, NORTH KANSAS CITY, MO 64116-3092
(816) 283-3396
(816) 283-3402
Mailing address
2301 BURLINGTON ST STE 200, NORTH KANSAS CITY, MO 64116-3092
(816) 283-3396
(816) 283-3402
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R9J66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209750322
—
MO
01
—
R9J66
LICENSE NUMBER
MO
Enumeration date
01/16/2007
Last updated
07/14/2008
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