Individual
DR. ELAINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S BLISS AVE, PEDIATRICS CLINIC, TAHLEQUAH, OK 74464-2512
(918) 458-3120
Mailing address
1390 HERITAGE LN, PLEASANT VIEW APTS # 92, TAHLEQUAH, OK 74464-2136
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
00022200
AL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
044765
GA
2080A0000X
Pediatric Adolescent Medicine Physician
21310
SC
2080A0000X
Pediatric Adolescent Medicine Physician
22124
WV
2080A0000X
Pediatric Adolescent Medicine Physician
34616
KY
2080A0000X
Pediatric Adolescent Medicine Physician
MD0000010129
TN
Other
Enumeration date
07/20/2006
Last updated
01/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us