Individual
MARY LOU KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6295
(918) 342-6508
Mailing address
PO BOX 548, SELLS, AZ 85634
(520) 383-7336
(520) 383-7216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ROO47499
OK
Other
Enumeration date
11/08/2008
Last updated
06/13/2017
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