O'Dell, Danielle Elizabeth

O'Dell, Danielle Elizabeth is an individual health care provider with primary practice located at 71 Mack Walters Rd , Shelbyville KY 40065. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. O'Dell, Danielle Elizabeth can be contacted via phone (502) 633-7337.

Contact Information

Primary practice address
71 Mack Walters Rd Shelbyville KY 40065
Phone: (502) 633-7337
Fax: (502) 633-7338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2369 Kentucky

Profile Details

NPI number 1134613425
LBN Legal business name O'Dell, Danielle Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Oct 6th, 2019 - about 5 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 1134613425 NPPES
Kentucky MEDICAID 7100548670

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