Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY ODOM
ActiveMRS. KIMBERLY ODOM is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in LOGANVILLE, Georgia. NPI 1073083564 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · LOGANVILLE, GA
Registration Details
- NPI Number
- 1073083564
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2018 (7.7290607800796 yrs)
- Last Updated
- Jul 10, 2025
- License
-
000369 (GA)
Practice Information
- Address
-
2602 WHITE ROSE DRLOGANVILLE, GA, 300522196Browse GA providers · Browse ZIP 30052
- Phone
- 4046442006
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
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.