Amanda Kaye Odom in Oklahoma City - Physician Assistant
Amanda Kaye Odom - NPI 1972648038
Amanda Kaye Odom is a Physician Assistant in Oklahoma City, Oklahoma. Amanda Kaye Odom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amanda Kaye Odom is 1972648038. The last update date is 2019-08-30.
Amanda Kaye Odom's current location address is 900 Ne 10th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052712058. The mailing address for Amanda Kaye Odom is 900 Ne 10th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Kaye Odom |
|---|---|
| Address | 900 Ne 10th St, Oklahoma City, Oklahoma |
| Phone Number | 4052712058 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972648038 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2019-08-30 |
Provider Mailing Address Detail
| Address | 900 Ne 10th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731045420 |
| Phone Number | 4052712058 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 1017 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1357924680 | OK | -- |
Post Comment/ Review Below
What is the Amanda Kaye Odom's 1972648038?
The Amanda Kaye Odom's NPI (National Provider Identifier) Number is 1972648038. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Amanda Kaye Odom's facilities are situated?
The facilities of Amanda Kaye Odom are physically located at the following address: 900 Ne 10Th St, Oklahoma City, OK, 731045420.
What is Amanda Kaye Odom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amanda Kaye Odom is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Amanda Kaye Odom's 1972648038 issued?
The Amanda Kaye Odom's 1972648038 was issued on 2007-02-20.
As of what date was the information regarding Amanda Kaye Odom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amanda Kaye Odom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-30.
NPI Number: 1982607784
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