Individual
KELLY ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1525 MADISON ST STE 1, FREDONIA, KS 66736-1704
(620) 378-2068
(620) 378-2312
Mailing address
1525 MADISON ST STE 1, FREDONIA, KS 66736-1704
(620) 378-2068
(620) 378-2312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-83748
KS
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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