Individual
AURA LYNN KENYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
1411 S GARY PL, TULSA, OK 74104-4828
(318) 458-0746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
—
Enumeration date
07/03/2019
Last updated
07/03/2019
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