Organization
BRUCE E. KENNEDY, CRNA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E KENNEDY CRNA (PRESIDENT)
(405) 364-6182
Entity
Organization
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
R0052074
OK
Other
Enumeration date
07/06/2006
Last updated
12/17/2007
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