Individual
KATHLEEN ODANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-1000
(855) 632-8329
Mailing address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-1000
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008577
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12691950
CAQH
—
05
—
7100310150
—
KY
Enumeration date
05/22/2014
Last updated
09/28/2018
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