Provider Demographics
NPI:1912460148
Name:OKWUONE, CALPURNIA CHUDI ADAMMA
Entity Type:Individual
Prefix:
First Name:CALPURNIA
Middle Name:CHUDI ADAMMA
Last Name:OKWUONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4633 W 69TH TER
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2547
Mailing Address - Country:US
Mailing Address - Phone:785-840-5215
Mailing Address - Fax:
Practice Address - Street 1:9233 WARD PKWY STE 125
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3340
Practice Address - Country:US
Practice Address - Phone:816-561-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional