Family Medicine
NKENNA ODOM MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972098465 · enumerated 2018-06-27 · record updated 2025-02-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1195 NORTH MAIN STREET, CNEMG PRIMARY CARE WMC, PROVIDENCE, RI, 02904-0288 (401) 736-4562 Fax (401) 921-9864 Google Maps Apple Maps OpenStreetMap
- Mailing address 455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI, 02886-2759 (401) 273-0641 Fax (401) 273-2919 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License MD17589 RI
In this directory
Locations and evidence
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Practice location
PROVIDENCE, RI, 029040288
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.