Individual
MRS. MANDY LEE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 N KELSEY ST, STURGIS, KY 42459-1434
(270) 952-5653
Mailing address
711 N KELSEY ST, STURGIS, KY 42459-1434
(270) 952-5653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3018830
KY
363LF0000X
Family Nurse Practitioner
Primary
3018830
KY
Other
Enumeration date
09/11/2023
Last updated
04/08/2026
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