Healthcare Provider Details

I. General information

NPI: 1285571919
Provider Name (Legal Business Name): OLIVIA CECILLE WEST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 WARD PARKWAY PLZ
KANSAS CITY MO
64114-2131
US

IV. Provider business mailing address

8025 WARD PARKWAY PLZ
KANSAS CITY MO
64114-2131
US

V. Phone/Fax

Practice location:
  • Phone: 816-214-8789
  • Fax: 816-214-8789
Mailing address:
  • Phone: 816-214-8789
  • Fax: 816-214-8789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2026000113
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: