Individual
DR. NICHOLAS CARSON O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1100
Mailing address
300 S 8TH ST, SUITE 480W, MURRAY, KY 42071-2400
(270) 762-1515
(270) 752-2852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100058500
—
KY
Enumeration date
05/17/2011
Last updated
11/13/2024
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