Individual
ERICKA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14117 MOUNT VERNON PL, EDMOND, OK 73013-6455
(405) 234-7866
Mailing address
14117 MOUNT VERNON PL, EDMOND, OK 73013-6455
(405) 234-7867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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