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Organization
DIANA L KENNEDY,MD INC
Active
Organization
DIANA L KENNEDY,MD INC
Active
Other names
Diana L Kennedy,MD inc
Organization subpart
No
Provider details
NPI number
Authorized official
DANA D CAVAZOS MA (MEDICAL ASSISTANT)
(405) 751-6117
Entity
Organization
Contact information
Practice address
4205 MCAULEY BLVD STE 420, OKLAHOMA CITY, OK 73120-8347
(405) 751-6117
(405) 751-0479
Mailing address
4205 MCAULEY BLVD STE 420, OKLAHOMA CITY, OK 73120-8347
(405) 751-6117
(405) 751-0479
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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