NPI Code Details Logo

NPI 1568325520

NPI 1568325520 : CHRISTINE ODELL RN : KANSAS CITY, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568325520
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRISTINE ODELL RN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/06/2025
-----------------------------------------------------
    Last Update Date     |    12/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8608 E 63RD ST 
-----------------------------------------------------
    City                 |    KANSAS CITY
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    64133-4725
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    816-353-6100
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8018 NALL AVE 
-----------------------------------------------------
    City                 |    PRAIRIE VILLAGE
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66208-4944
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    913-449-3448
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163WH0500X
-----------------------------------------------------
    Taxonomy Name        |    Hemodialysis Registered Nurse
-----------------------------------------------------
    License Number       |    14-113012-111
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    163WH0500X
-----------------------------------------------------
    Taxonomy Name        |    Hemodialysis Registered Nurse
-----------------------------------------------------
    License Number       |    2003020767
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.