Individual
EMILY O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1640 E TALL TREE RD, DERBY, KS 67037
(316) 789-8222
Mailing address
1640 E TALL TREE RD, DERBY, KS 67037-2000
(316) 789-8222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-40459
KS
Other
Enumeration date
06/16/2015
Last updated
08/01/2018
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