Organization
STRAWBERRY HILL PEDIATRICS, P.C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RICHARD KENNEDY D.O. (PRESIDENT)
(918) 622-1994
Entity
Organization
Contact information
Practice address
2227 S GARNETT RD, SUITE 101, TULSA, OK 74129-5115
(918) 622-1994
(918) 270-1958
Mailing address
2227 S GARNETT RD, SUITE 101, TULSA, OK 74129-5119
(918) 622-1994
(918) 270-1958
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2099
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200421520A
—
OK
Enumeration date
02/17/2011
Last updated
04/12/2012
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