Ben J. O'dell, Md, Psc | |
700 St. Christopher Drive Suite 102 Ashland KY 41101-7061 | |
(606) 833-0333 | |
(606) 833-0070 |
Full Name | Ben J. O'dell, Md, Psc |
---|---|
Speciality | Internal Medicine |
Location | 700 St. Christopher Drive, Ashland, Kentucky |
Authorized Official Name and Position | Ben J O'dell (OWNER) |
Authorized Official Contact | 6068330333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ben J. O'dell, Md, Psc 700 St. Christopher Drive Suite 102 Ashland KY 41101-7061 Ph: (606) 833-0333 | Ben J. O'dell, Md, Psc 700 St. Christopher Drive Suite 102 Ashland KY 41101-7061 Ph: (606) 833-0333 |
NPI Number | 1134213101 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 04/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134213101 | NPI | - | NPPES |
64282791 | Medicaid | KY | |
000000049479 | Other | KY | BLUECROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28279 (Kentucky) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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