Active NPI
Ezenwa Kevin Osuala, ARNP
- Family Nurse Practitioner
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2014034210
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (816) 698-7000
- NPI assigned
- Oct 17, 2014
- Last updated
- Oct 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110032 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2014034210 | MO | Primary |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
4600 College Blvd
Ste 103
Overland Park, KS 66211-1606
Phone (913) 215-5008
Other practice location 1
11227 Lakeview Ave
Lenexa, KS 66219-1399
Phone (913) 730-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110032 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients |
Locations
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
9701 Monrovia St
Overland Park, KS 66215
Phone (913) 492-1130
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225331002
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1548563737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1851795090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 COLLEGE BLVD",
"address_2": "STE 103",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111606",
"telephone_number": "913-215-5008",
"fax_number": "913-297-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "816-698-7000"
}
],
"practiceLocations": [
{
"address_1": "11227 Lakeview Ave",
"address_purpose": "LOCATION",
"city": "Lenexa",
"state": "KS",
"postal_code": "662191399",
"country_code": "US",
"telephone_number": "913-730-1100",
"fax_number": "913-730-1101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSUALA",
"first_name": "EZENWA",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "110032",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014034210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.