Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRK M ODDEN, MD
ActiveKIRK M ODDEN, MD is a Family Medicine healthcare provider located in LAKE CRYSTAL, Minnesota. NPI 1518946532 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE CRYSTAL, MN
Registration Details
- NPI Number
- 1518946532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.588526768847 yrs)
- Last Updated
- Jul 15, 2020
- Licenses
-
27361 (MN)27361 (MN)
Practice Information
- Address
-
221 S MURPHY STLAKE CRYSTAL, MN, 560552128Browse MN providers · Browse ZIP 56055
- Phone
- 5077262136
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Geriatric Medicine
Other Family Medicine Providers in LAKE CRYSTAL, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JAMIE ANN JOHANNES | DO | 1407021637 |
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.