Healthcare Provider Details

I. General information

NPI: 1912460148
Provider Name (Legal Business Name): CALPURNIA CHUDI ADAMMA OKWUONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2019
Last Update Date: 04/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9233 WARD PKWY STE 125
KANSAS CITY MO
64114-3340
US

IV. Provider business mailing address

4633 W 69TH TER
PRAIRIE VILLAGE KS
66208-2547
US

V. Phone/Fax

Practice location:
  • Phone: 816-561-9494
  • Fax:
Mailing address:
  • Phone: 785-840-5215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: