Individual
BRUCE E KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
415 W GRAY ST, NORMAN, OK 73069-7117
(405) 364-6182
(405) 364-5379
Mailing address
415 W GRAY ST, NORMAN, OK 73069-7117
(405) 364-6182
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
52074
OK
Other
Enumeration date
06/26/2006
Last updated
04/20/2008
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