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

Kenneth Franklin Odom, PA

Individual provider Physician Assistant · NPI 1982639738

Kenneth Franklin Odom, PA is a Physician Assistant in Dothan, Alabama. Qualified in 2006, 20 years ago. Practices with S.b.j.s. PC, a 39-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
20
Licensed in
AL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 Ross Clark Cir
Dothan, AL 36301-4754
Phone: (334) 793-2663
Fax: (334) 836-2247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.504 (AL)

Record details

NPI number1982639738
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESOctober 29, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice S.B.J.S. Pc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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