Individual
KIM ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4221 FORT HENRY DR, KINGSPORT, TN 37663-2227
(423) 239-9191
Mailing address
3727 ARROWHEAD TRL, KINGSPORT, TN 37664-5101
(423) 646-3921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9667
TN
Other
Enumeration date
03/01/2010
Last updated
08/01/2017
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