Individual
HEATHER RAE KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18103 E 47TH ST, TULSA, OK 74134-7413
(918) 521-1938
Mailing address
18103 E 47TH ST, TULSA, OK 74134-7413
(918) 521-1938
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
83292
OK
Other
Enumeration date
10/24/2011
Last updated
03/08/2012
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