Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Darryl L Olive Jr., PA-C

Individual provider Physician Assistant · NPI 1639494073

Mr. Darryl L Olive Jr., PA-C is a Physician Assistant in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2010.

Licensed in
KS, MO
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

517 Campbell St
Kansas City, MO 64106-1213
Phone: (816) 699-2928
Fax: (816) 466-5969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2019013315 (MO)
Kinesiotherapist Taxonomy 226300000X · Licence YA-34381 (KS)
Massage Therapist Taxonomy 225700000X · Licence 09980-01073 (KS)

Record details

NPI number1639494073
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2010
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

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