Individual
KAYLA ZOE ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 535-8011
Mailing address
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 535-8011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-02688
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2021
Last updated
09/30/2024
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