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

Kelsie Rae O'Daniel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578444030

Kelsie Rae O'Daniel is a Nurse Practitioner in Whitesburg, Kentucky. Qualified in 2025, 1 year ago. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
Specialties on file
2

Practice location Address checks out

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone: (256) 688-0523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4048469 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (KY)

Record details

NPI number1578444030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address240 Hospital Rd, Whitesburg, KY 41858-7627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Whitesburg