Odesha, Kyle Brent

Odesha, Kyle Brent is an individual health care provider with primary practice located at 200 Beatty St , Medford OR 97501-5811. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Odesha, Kyle Brent can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
200 Beatty St Medford OR 97501-5811
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1023621950
LBN Legal business name Odesha, Kyle Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2020
Last updated Dec 29th, 2023 - about 2 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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