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Individual

JENNIFER KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN CPNP

Contact information

Practice address
1800 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6224
(405) 741-7722
Mailing address
1800 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6224

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
R0131654
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
221867
OK

Other

Enumeration date
01/14/2025
Last updated
02/27/2025
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