Individual
KELSIE RAE O'DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(256) 688-0523
Mailing address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(256) 688-0523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4048469
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
09/10/2025
Last updated
11/26/2025
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