NPI 1962969253

Odianosen Kelvin Unemin

Practitioner Driver Marion, IA

Practice location

Address: 210 Ridge Dr APT 2, Marion, IA 52302-3046
Phone: (832) 677-7406

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1962969253
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2019
Record last updated: 22 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.