MEDICARE: CHRISTOPHER ORALLO NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2017012599	MO

General Provider Information

NPI Number	:	1275068462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ORALLO NP-C

Provider Business Mailing Address
First Line	:	901 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4517
Country	:	US
Telephone Number	:	816-599-9499
Fax Number	:	816-932-9670

Provider Business Practice Location Address
First Line	:	4321 WASHINGTON ST STE 5100
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5933
Country	:	US
Telephone Number	:	913-491-9100
Fax Number	:	913-491-9135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	10/23/2019

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