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Individual

BEN J O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 SAINT CHRISTOPHER DR, SUITE 102, ASHLAND, KY 41101-7062
(606) 833-0333
(606) 833-0070
Mailing address
700 SAINT CHRISTOPHER DR, SUITE 102, ASHLAND, KY 41101-7062
(606) 833-0333
(606) 833-0070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28279
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64282791
KY
Enumeration date
10/03/2006
Last updated
02/04/2014
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