Individual
MRS. CAROL LYNN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2701 W UNIVERSITY BLVD, DURANT, OK 74701-2997
(580) 740-4053
(877) 725-8976
Mailing address
2701 W UNIVERSITY BLVD, DURANT, OK 74701-2997
(580) 740-4053
(877) 725-8976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0074318
OK
363LF0000X
Family Nurse Practitioner
Primary
74318
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
74318
OK
Other
Enumeration date
03/28/2015
Last updated
08/15/2025
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