National Provider Identifier
Kristen H O'Dell
Kristen H O'Dell is listed in the NPPES registry with a primary specialty of Registered Dietitian in Blasdell, NY and a listed phone number of (908) 894-9054.
Profile Overview
- NPI
- 1780246934
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 08, 2019
- Last Updated
- July 08, 2019
Practice Location
- 12 Madison Ave
- Blasdell, NY 14219-1716
Phone: (908) 894-9054
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1780246934
- Entity Type
- Individual
- Last Name
- O'Dell
- First Name
- Kristen
- Middle Name
- H
- Mailing Street Address
- 12 Madison Ave
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-1716
- Mailing Country
- US
- Mailing Phone
- (908) 894-9054
- Practice Street Address
- 12 Madison Ave
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219-1716
- Practice Country
- US
- Practice Phone
- (908) 894-9054
- Enumeration Date
- July 08, 2019
- Last Updated
- July 08, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)