Most Relevant Information
Provider Data
| NPI Number: | 1003567652 |
| Provider Name: | EBERECHUKWU VIVIAN OKPAREKE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 53-80447-102 |
Most Important Dates
| Enumeration Date: | 01/14/2022 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY
MO
641302807
Practice Location Phone/Fax
| Phone: | 8169235800 |
| Fax: |
Provider Mailing Location
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY
MO
641302807
Provider Mailing Phone/Fax
| Phone: | 8169235800 |
| Fax: |