Individual
MICHAEL OFOKANSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4282
(816) 404-4295
Mailing address
8916 N SAINT CLAIR AVE, KANSAS CITY, MO 64154-1631
(816) 741-0794
(816) 741-0794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014007840
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420012835
—
MO
Enumeration date
03/20/2014
Last updated
11/30/2020
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