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Keith Wayne Odendahl, NP
Adult Health Nurse Practitioner in Baton Rouge, Louisiana
NPI 1811977846

Keith Wayne Odendahl is an Adult Health Nurse Practitioner based in Nashville, LA and is specialized in Adult Health. Keith Wayne Odendahl practices in Baton Rouge, LA and has the professional credentials of NP. The NPI Number for Keith Wayne Odendahl is 1811977846 and holds a License No. AP03719 (Louisiana).

The current practice location address for Keith Wayne Odendahl is 7777 Hennessy Blvd, Baton Rouge, LA and can be reached out via phone at 225-767-3900 and via fax at 225-214-9109. You can also correspond with Keith Wayne Odendahl through the mailing address at 30 BURTON HILLS BLVD, NASHVILLE, TN - 37215-6403 (mailing address contact number: 615-988-2014).

Location: 7777 Hennessy Blvd, Baton Rouge, LA, 37215-6403
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Provider Profile Details
NPI Number
1811977846
Provider Name
Keith Wayne Odendahl
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
7777 Hennessy Blvd, Baton Rouge, LA, 37215-6403
Phone Number
225-767-3900
Fax Number
225-214-9109
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00712670 01 LA RAILROAD MCARE THRU PEPA
310063 01 LA WELLCARE
1431940 05 LA
institution
Provider Business Practice Location Address Details
Address
7777 Hennessy Blvd
City
State
Zip
70808-4300
Phone Number
225-767-3900
Fax Number
225-214-9109
person
Provider Business Mailing Address Details
Address
7777 Hennessy Blvd
City
State
Zip
70808-4300
Phone Number
225-767-3900
Fax Number
225-214-9109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP03719 (Louisiana)
Definition
Definition to come...
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