Individual
KENDRA FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
Mailing address
36609 45TH ST, SHAWNEE, OK 74804-8882
(405) 273-1170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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