Individual
DR. KIMBERLY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7493
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06102300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160602
HORIZON NJ HEALTH
NJ
01
—
1744623
UNITED HEALTH CARE
NJ
01
—
5834585
AETNA US HEALTHCARE
NJ
05
—
7263708
—
NJ
Enumeration date
12/13/2006
Last updated
07/08/2007
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