Individual
KENDA PEBWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E CALIFORNIA AVE, COALGATE, OK 74538-3436
(580) 740-7968
Mailing address
37596 COUNTY ROAD 1740, COALGATE, OK 74538-5054
(580) 740-7968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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