Odden, Kirk M

Odden, Kirk M is an individual health care provider with primary practice located at 221 S Murphy St , Lake Crystal MN 56055-2128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Odden, Kirk M can be contacted via phone (507) 726-2136.

Contact Information

Primary practice address
221 S Murphy St Lake Crystal MN 56055-2128
Phone: (507) 726-2136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27361 Minnesota
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 27361 Minnesota

Profile Details

NPI number 1518946532
LBN Legal business name Odden, Kirk M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 15th, 2020 - about 6 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 1518946532 NPPES
Other 080068437 RR MEDICARE
Other 3T990OD RR MEDICARE
Other 41084933956001C088 RR MEDICARE
Other HP25875 RR MEDICARE
Other 080068437 RR MEDICARE
Other 41084933956001C008 RR MEDICARE
MEDICAID 993067100 RR MEDICARE
Other 0116026 RR MEDICARE
Other 1973693 RR MEDICARE
MEDICAID 1973693 RR MEDICARE
Other 95124 RR MEDICARE
Other 26097 RR MEDICARE
Other 115441 RR MEDICARE
Other NA2951010486 RR MEDICARE

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