Individual
BENTLEY O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-8348
(606) 787-0251
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-8348
(606) 787-0251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3234P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78004116
—
KY
Enumeration date
03/10/2006
Last updated
08/22/2013
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