Odom, Nkenna
Odom, Nkenna is an sole proprietor health care provider with primary practice located at 146 W River St Fl 3 , Providence RI 02904-2609. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Odom, Nkenna can be contacted via phone (401) 793-5700.Contact Information
Primary practice address
146 W River St Fl 3
Providence RI 02904-2609
Phone: (401) 793-5700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17589 | Rhode Island |
Profile Details
NPI number | 1972098465 |
---|---|
LBN Legal business name | Odom, Nkenna |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2018 |
Last updated | Jun 28th, 2021 - about 4 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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