# KENDRA LAUDERDALE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912116005
- **Authorized official:** MS. DOROTHY R SHOEMAKER LCDW (CREDENTIALING MANAGER)
- **Authorized official phone:** (405) 425-0385

## Contact information

- **Practice address:** 2619 N HARVEY AVE, OKLAHOMA CITY, OK 73103-3017
- **Practice address phone:** (405) 525-3959
- **Mailing address:** 9115 SHARTEL AVE, OKLAHOMA CITY, OK 73114-2803
- **Mailing address phone:** (405) 605-7793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/12/2008