O'Dell, Bentley

O'Dell, Bentley is an individual health care provider with primary practice located at 187 Wolford Ave , Liberty KY 42539-3278. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. O'Dell, Bentley can be contacted via phone (606) 787-8348.

Contact Information

Primary practice address
187 Wolford Ave Liberty KY 42539-3278
Phone: (606) 787-8348
Fax: (606) 787-0251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3234P Kentucky

Profile Details

NPI number 1629046065
LBN Legal business name O'Dell, Bentley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 22nd, 2013 - about 11 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 1629046065 NPPES
Kentucky MEDICAID 78004116

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