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NPI Code Detail

MEDICARE: SARAH OKELLY

MEDICARE: SARAH OKELLY
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1760298889
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH OKELLY
Provider Business Mailing Address
First Line : 2060 W 39TH AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2060 W 39TH AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2943
Country : US
Telephone Number : 913-588-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2024
Last Update Date : 12/04/2024

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Directions to “ SARAH OKELLY ” Practice Location

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