Organization
KENAN KIRKENDALL, D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENAN KIRKENDALL D.O. (PHYSICIAN)
(580) 254-5316
Entity
Organization
Contact information
Practice address
1501 MAIN ST, WOODWARD, OK 73801-3043
(580) 254-5316
(580) 256-6508
Mailing address
1501 MAIN ST, WOODWARD, OK 73801-3043
(580) 254-5316
(580) 256-6508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256120A
—
OK
Enumeration date
01/24/2007
Last updated
09/27/2012
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