Individual
DR. KELLY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
D0042645
MD
207L00000X
Anesthesiology Physician
MD32654
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113
CAREFIRST BCBS
DC
05
—
027449600
—
DC
01
—
212103
KAISER
DC
05
—
234501301
—
MD
01
—
2561122
AETNA HMO
DC
01
—
3058246001
CIGNA HMO
DC
01
—
441777
ANTHEM BCBS
VA
01
—
566739
NCPPO
DC
01
—
5711193
VIRGINIA MEDICAID
VA
01
—
7016224
AETNA NON HMO
DC
Enumeration date
07/20/2006
Last updated
06/20/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up