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Individual

KATHLEEN SUZANNE ODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-FAMILY

Contact information

Practice address
1017 E BALTIMORE ST, BALTIMORE, MD 21202-4705
(410) 675-7500
(443) 230-0059
Mailing address
PO BOX 103, SEVERNA PARK, MD 21146-0103
(410) 675-7500
(443) 230-0059

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R128442
MD

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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