Odham, Kathy

Odham, Kathy is an individual health care provider with primary practice located at 616 Universal Dr , Tallahassee FL 32303-4787. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odham, Kathy can be contacted via phone (850) 385-1839.

Contact Information

Primary practice address
616 Universal Dr Tallahassee FL 32303-4787
Fax: (850) 386-8371
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1426952 Florida

Profile Details

NPI number 1306802996
LBN Legal business name Odham, Kathy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jul 14th, 2010 - about 15 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 1306802996 NPPES
Florida Other 05232 UNIVERSAL HEALTH CARE

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