Organization
ODOMS PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON J ODOM CP (PROSTHETIST/ OWNER)
(859) 273-3928
Entity
Organization
Contact information
Practice address
2785 N MAIN ST, HAZARD, KY 41701-5910
(859) 273-3928
(859) 273-0038
Mailing address
745 TROY TRL, LEXINGTON, KY 40517-1958
(859) 273-3928
(859) 273-0038
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90090572
—
KY
Enumeration date
11/15/2007
Last updated
02/23/2009
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