Individual
KANDRA DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
511 E CHOCTAW AVE, MCALESTER, OK 74501-5031
(580) 579-9947
Mailing address
PO BOX 92, KENEFIC, OK 74748-0092
(580) 579-9947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80748
OK
Other
Enumeration date
07/25/2018
Last updated
12/29/2023
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