What is Kellie Odeneal's NPI number?

Kellie Odeneal's National Provider Identifier (NPI) is 1720707532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kellie Odeneal's specialty?

Kellie Odeneal is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Kellie Odeneal located?

Kellie Odeneal's practice location on file with NPPES is 907 Nw 5th St, Wagoner, OK 74467-3103.

What is Kellie Odeneal's phone number?

The practice phone number listed in the NPPES registry for Kellie Odeneal is (918) 777-1241.

Is Kellie Odeneal's NPI active?

Yes — Kellie Odeneal's NPI (1720707532) is active in the NPPES registry as of the last update on 2022-08-24.

IndividualActive

Kellie Odeneal

NPI 1720707532 · Peer Specialist · Wagoner, OK

Kellie Odeneal is a Peer Specialist provider in Wagoner, OK (NPI 1720707532).

Provider details

NPI number: 1720707532
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

907 Nw 5th St

Wagoner, OK 74467-3103

Phone: (918) 777-1241

Street-level locationGet directions

More OK providers

Mailing address