Organization
BEN J. O'DELL, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN J O'DELL MD (OWNER)
(606) 833-0333
Entity
Organization
Contact information
Practice address
700 ST. CHRISTOPHER DRIVE, SUITE 102, ASHLAND, KY 41101-7061
(606) 833-0333
(606) 833-0070
Mailing address
700 ST. CHRISTOPHER DRIVE, SUITE 102, ASHLAND, KY 41101-7061
(606) 833-0333
(606) 833-0070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28279
KY
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049479
BLUECROSS
KY
05
—
64282791
—
KY
Enumeration date
10/03/2006
Last updated
04/30/2014
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