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Organization

DIANA L KENNEDY,MD INC

Active
Other names
Diana L Kennedy,MD inc
Organization subpart
No

Provider details

NPI number
Authorized official
DANA D CAVAZOS MA (MEDICAL ASSISTANT)
(405) 751-6117
Entity
Organization

Contact information

Practice address
4205 MCAULEY BLVD STE 420, OKLAHOMA CITY, OK 73120-8347
(405) 751-6117
(405) 751-0479
Mailing address
4205 MCAULEY BLVD STE 420, OKLAHOMA CITY, OK 73120-8347
(405) 751-6117
(405) 751-0479

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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