Individual
KENNA CORNELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 NW 120TH CT, OKLAHOMA CITY, OK 73162-1729
(405) 455-8668
Mailing address
12104 DORNICK DR, OKLAHOMA CITY, OK 73162-6905
(405) 618-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
03/17/2023
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