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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE BRENT ODESHA

Active

KYLE BRENT ODESHA is a Case Manager healthcare provider located in MEDFORD, Oregon. NPI 1023621950 is currently active in the NPPES registry. Verify at CMS.

Case Manager · MEDFORD, OR

Registration Details

NPI Number
1023621950
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2020 (5.9792844524733 yrs)
Last Updated
Dec 29, 2023

Practice Information

Address
200 BEATTY ST
MEDFORD, OR, 975015811
Browse OR providers · Browse ZIP 97501
Phone
5414762373
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Community Health Worker
Additional Specialty
Case Manager

Other Case Manager Providers in MEDFORD, OR

Name Credential NPI
CLAUDIA CHAVES LPC; MFT 1518297126
MRS. YVONNE MELINDA SHAFER 1023312543
SHELLI PIVER 1336443605
CHRISTINE SEIDL FORSYTHE BS 1710281068
LORNA DIANE ANDERSON 1891099123
EVONNE MAXINE HUBBARD 1720382831
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.