Individual
KENDRA ANN SPEIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
124 N BELL AVE, SHAWNEE, OK 74801-6902
(405) 275-1457
(405) 275-0067
Mailing address
124 N BELL AVE, SHAWNEE, OK 74801-6902
(405) 275-1457
(405) 275-0067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69925
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200459400A
—
OK
05
—
200459480A
—
OK
Enumeration date
07/01/2010
Last updated
03/20/2023
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