Individual
KENNEDY N LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1413 W 118TH ST S, JENKS, OK 74037-4262
(918) 521-9930
Mailing address
9290 E 119TH PL S, BIXBY, OK 74008-1846
(918) 521-9930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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