Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Devaul Odineal, MD

Individual provider General Practice Physician · NPI 1023539160

David Devaul Odineal, MD is a General Practice Physician in Fort Campbell, Kentucky. Licensed in Tennessee and Wisconsin. Registered with an NPI since 2017.

Licensed in
TN, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7973 W Destiny Blvd
Fort Campbell, KY 42223-5429
Phone: (270) 798-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 65771 (TN)
General Practice Physician Taxonomy 208D00000X · Licence 7462220 (WI)

Record details

NPI number1023539160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022
Mailing address7973 W Destiny Blvd, Fort Campbell, KY 42223-5429

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