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NPI Code Detail

MEDICARE: KELCEY L O'DANIEL MD

MEDICARE: KELCEY L O'DANIEL MD
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
1363LF0000XFamily Nurse Practitioner2023035145MO
2363LF0000XFamily Nurse Practitioner53-82019KS

General Provider Information

NPI Number : 1992314678
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELCEY L O'DANIEL MD
Provider Business Mailing Address
First Line : 108 N LOGAN ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-3131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 06/01/2026

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Directions to “ KELCEY L O'DANIEL MD” Practice Location

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