Individual
MS. KATHLEEN ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
3000 UNITED FOUNDERS BLVD, 239, OKLAHOMA CITY, OK 73112-3958
(405) 840-7040
Mailing address
3000 UNITED FOUNDERS BLVD, 239, OKLAHOMA CITY, OK 73112-3958
(405) 840-7040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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