Individual
KELCEY L O'DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
108 N LOGAN ST, OLATHE, KS 66061-3131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2023035145
MO
363LF0000X
Family Nurse Practitioner
Primary
53-82019
KS
363LF0000X
Family Nurse Practitioner
Primary
5382019052
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2020
Last updated
06/01/2026
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