Individual
AMBER ESTELLE KENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1214 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3717
(405) 239-6815
(405) 239-2637
Mailing address
117 NW 17TH ST, OKLAHOMA CITY, OK 73103-3412
(405) 593-7793
(405) 239-2637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0057935
OK
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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