# DIANA L KENNEDY,MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diana L Kennedy,MD inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154073765
- **Authorized official:** DANA D CAVAZOS MA (MEDICAL ASSISTANT)
- **Authorized official phone:** (405) 751-6117

## Contact information

- **Practice address:** 4205 MCAULEY BLVD STE 420, OKLAHOMA CITY, OK 73120-8347
- **Practice address phone:** (405) 751-6117
- **Practice address fax:** (405) 751-0479
- **Mailing address:** 4205 MCAULEY BLVD STE 420, OKLAHOMA CITY, OK 73120-8347
- **Mailing address phone:** (405) 751-6117
- **Mailing address fax:** (405) 751-0479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 01/25/2022