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Individual

KRISTIN O'DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.N.P, C.R.N.P.

Contact information

Practice address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 645-1670
Mailing address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 645-1670
(570) 645-1673

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009671
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009671
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102157459
PA
Enumeration date
02/12/2008
Last updated
06/21/2026
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