National Provider Identifier

Kimberly A O'Dell, MSED

Kimberly A O'Dell, MSED is listed in the NPPES registry with a primary specialty of Specialist in Lockport, NY and a listed phone number of (716) 909-9047.

NPI 1750641510Lockport, NYSpecialist

Profile Overview

NPI
1750641510
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
May 25, 2012
Last Updated
May 25, 2012

Practice Location

  • 5697 Jennifer Dr E
  • Lockport, NY 14094-6007

Phone: (716) 909-9047

Specialties

  • Specialist (174400000X)
Full Record
NPI
1750641510
Entity Type
Individual
Last Name
O'Dell
First Name
Kimberly
Middle Name
A
Credential
MSED
Mailing Street Address
5697 Jennifer Dr E
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-6007
Mailing Country
US
Mailing Phone
(716) 909-9047
Practice Street Address
5697 Jennifer Dr E
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-6007
Practice Country
US
Practice Phone
(716) 909-9047
Enumeration Date
May 25, 2012
Last Updated
May 25, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)