Odum, Kelly Diane

Odum, Kelly Diane is an individual health care provider with primary practice located at 3001 Reserve Blvd Ste 201 , Spring Hill TN 37174-3088. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odum, Kelly Diane can be contacted via phone (931) 486-8770.

Contact Information

Primary practice address
3001 Reserve Blvd Ste 201 Spring Hill TN 37174-3088
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16109 Tennessee

Profile Details

NPI number 1841572922
LBN Legal business name Odum, Kelly Diane
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Apr 2nd, 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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