Individual
KALLIE O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 FELIX ST, SAINT JOSEPH, MO 64501-2788
(816) 671-4007
(816) 671-4470
Mailing address
404 N FRANKLIN ST, RAYMORE, MO 64083-9571
(816) 261-9893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016027708
MO
Other
Enumeration date
08/11/2016
Last updated
09/23/2020
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