Odago, Fred Ochieng

Odago, Fred Ochieng is an individual health care provider with primary practice located at 1021 Majestic Dr Ste 200 , Lexington KY 40513-1867. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Odago, Fred Ochieng can be contacted via phone (859) 296-1922.

Contact Information

Primary practice address
1021 Majestic Dr Ste 200 Lexington KY 40513-1867
Phone: (859) 296-1922
Fax: (859) 224-8721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X R4566 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 55211 Kentucky

Profile Details

NPI number 1356872238
LBN Legal business name Odago, Fred Ochieng
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Jun 14th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356872238 NPPES
Kentucky MEDICAID 7100543080

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