Individual
MADISON LEIGH KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3960 W TECUMSEH RD STE 120, NORMAN, OK 73072-1787
(405) 217-3886
(405) 217-3418
Mailing address
926 SW 107TH ST STE 100, OKLAHOMA CITY, OK 73170-5244
(405) 735-9788
(405) 735-9882
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
08/25/2022
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