# KENMETAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenwood Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811294333
- **Authorized official:** CHRIS BROGDON (MANAGER)
- **Authorized official phone:** (770) 650-8793

## Contact information

- **Practice address:** 502 W PINE AVE, ENID, OK 73701-3032
- **Practice address phone:** (580) 233-2722
- **Practice address fax:** (580) 234-1503
- **Mailing address:** 502 W PINE AVE, ENID, OK 73701-3032
- **Mailing address phone:** (580) 233-2722
- **Mailing address fax:** (580) 234-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2011
- **Last updated:** 01/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200059530A | — | OK |