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MR. EZENWA KEVIN OSUALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
Mailing address
4600 COLLEGE BLVD, STE 103, OVERLAND PARK, KS 66211-1606
(913) 215-5008
(913) 297-1202

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
110032
KS
363LF0000X
Family Nurse Practitioner
Primary
2014034210
MO

Other

Enumeration date
10/17/2014
Last updated
10/23/2025
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