Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 0432484 | KS |
NPI | 1043439102 |
---|---|
Provider Name | Anne P. O'dea |
First Address | Westwood, KS 66205 |
Second Address | Westwood, KS 66205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 06/07/2017 |