Healthcare Provider Details

I. General information

NPI: 1578690202
Provider Name (Legal Business Name): KARMEN M OLBERDING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2370 VINTAGE CT
EXCELSIOR SPRINGS MO
64024-8011
US

IV. Provider business mailing address

2370 VINTAGE CT
EXCELSIOR SPRINGS MO
64024-8011
US

V. Phone/Fax

Practice location:
  • Phone: 816-630-2032
  • Fax: 816-630-2028
Mailing address:
  • Phone: 816-630-2032
  • Fax: 816-630-2028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number154847
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: