Healthcare Provider Details

I. General information

NPI: 1952107518
Provider Name (Legal Business Name): FELICIA CHIKWUE OKUAGU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

9001 W 147TH PL
OVERLAND PARK KS
66221-2189
US

V. Phone/Fax

Practice location:
  • Phone: 816-861-4700
  • Fax:
Mailing address:
  • Phone: 913-620-7209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-89024-121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: