Odom, Nkenna
Odom, Nkenna is an individual health care provider with primary practice located at 1195 North Main Street Cnemg Primary Care Wmc, Providence RI 02904-0288. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Odom, Nkenna can be contacted via phone (401) 736-4562.Contact Information
Primary practice address
1195 North Main Street Cnemg Primary Care Wmc
Providence RI 02904-0288
Phone: (401) 736-4562
Fax: (401) 921-9864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17589 | Rhode Island |
Profile Details
| NPI number | 1972098465 |
|---|---|
| LBN Legal business name | Odom, Nkenna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2018 |
| Last updated | Feb 19th, 2025 - about last year |
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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