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Contact Information

PHYLICIA D ODUME, DO
529 S JACKSON ST
LOUISVILLE, KY40202-3229
 Phone: 502-562-4360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PHYLICIA D ODUME · (Female)

NPI # 1417586413
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2020
Last updated 07/01/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • KY License # 06072
  • OK License # 7967
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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