Individual
KATHARINE K. O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 KENDALL ST, DEPARTMENT OF OBSTETRICS & GYNECOLOGY, WORCESTER, MA 01605-2726
(508) 334-9840
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN225616
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110018595A
—
MA
Enumeration date
11/08/2005
Last updated
03/03/2016
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