Individual
MS. KIM TERESA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSW MA NCC
Contact information
Practice address
616 E CHURCH STREET, FRONTIER HEALTH CHURCH ST, GREENEVILLE, TN 37743
(423) 639-3213
(423) 639-4692
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95886
TN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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