Individual
MRS. KENDALL LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12899 E 76TH ST N, 117, OWASSO, OK 74055-4026
(918) 609-6003
(918) 609-6002
Mailing address
12899 E 76TH ST N, 117, OWASSO, OK 74055-4026
(918) 609-6003
(918) 609-6002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3431
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245465426
TRICARE SW REGION
OK
05
—
200243390A
—
OK
Enumeration date
05/18/2009
Last updated
08/19/2009
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