Individual
MR. KEITH E OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
1018 NW MAGNOLIA LN, GRAIN VALLEY, MO 64029-7336
(816) 847-5919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-90533-012
KS
163W00000X
Registered Nurse
Primary
2000151395
MO
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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