Individual provider · Type 1 NPI
Kimberly Odom
Speech-Language Assistant · Loganville, GA
NPI number
1073083564
Active
Practice location
2602 White Rose Dr
Loganville, GA 30052-2196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 000369 (GA) |
Speech-Language Assistant: Definition to come...
Another provider at this address
About NPI 1073083564
Kimberly Odom's National Provider Identifier is 1073083564, issued on Nov 28, 2018. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Loganville, GA. The record was last updated on Jul 10, 2025.