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Contact Information

DARRYL L OLIVE JR, PA-C
517 CAMPBELL ST
KANSAS CITY, MO64106-1213
 Phone: 816-699-2928
 Fax: 816-466-5969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Kinesiotherapist

226300000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for DARRYL L OLIVE JR · (Male)

NPI # 1639494073
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/29/2010
Last updated 02/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • KS License # 09980-01073
  • KS License # YA-34381
  • MO License # 2019013315
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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