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Individual

DR. DAVID M O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2187 LEXINGTON RD, SUITE A-4, RICHMOND, KY 40475-7919
(859) 624-9699
(859) 624-2699
Mailing address
2187 LEXINGTON RD, SUITE A-4, RICHMOND, KY 40475-7919
(859) 624-9699
(859) 624-2699

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001760
CT
111N00000X
Chiropractor
5284
KY
111N00000X
Chiropractor
Primary
5284-KY
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100169940
KY
Enumeration date
07/28/2008
Last updated
04/28/2014
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