Individual
DR. KEVIN JAMES O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28245 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2863
(248) 552-1110
(248) 552-0771
Mailing address
28245 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2863
(248) 552-1110
(248) 552-0771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4691445
—
MI
Enumeration date
11/24/2006
Last updated
12/18/2007
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