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Individual

DR. KENAN KIRKENDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4900 OKLAHOMA AVE, WOODWARD, OK 73801-3713
(580) 254-5316
(580) 256-6508
Mailing address
4900 OKLAHOMA AVE, WOODWARD, OK 73801-3713
(580) 254-5316
(580) 256-6508

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3310
OK
207R00000X
Internal Medicine Physician
3310
OK
208000000X
Pediatrics Physician
3310
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100256120A
OK
05
100256120B
OK
Enumeration date
06/01/2005
Last updated
04/22/2026
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