Individual
KENNADI LYNN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195674 N 4270 RD, ANTLERS, OK 74523-7100
(580) 743-6991
Mailing address
195674 N 4270 RD, ANTLERS, OK 74523-7100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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