Hardin, Amy Odom

Hardin, Amy Odom is an individual health care provider with primary practice located at 1201 S Adams St , Stillwater OK 74074-5476. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hardin, Amy Odom can be contacted via phone (405) 742-7300.

Contact Information

Primary practice address
1201 S Adams St Stillwater OK 74074-5476
Phone: (405) 742-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 36743 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36743 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32295 Oklahoma
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 36743 Kentucky

Profile Details

NPI number 1497739809
LBN Legal business name Hardin, Amy Odom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Aug 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497739809 NPPES
Kentucky MEDICAID 64017031

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