Individual
KEVIN PAUL O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W ROUTE 38, MOORESTOWN, NJ 08057-3424
(856) 673-3960
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA09663800
NJ
207X00000X
Orthopaedic Surgery Physician
MD454489
PA
207X00000X
Orthopaedic Surgery Physician
ME139933
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA09663800
NJ
Other
Enumeration date
03/22/2010
Last updated
02/05/2024
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