Individual
KENNETTA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 UNITED FOUNDERS BLVD STE 239, OKLAHOMA CITY, OK 73112-4294
(405) 840-7040
Mailing address
3000 UNITED FOUNDERS BLVD STE 239, OKLAHOMA CITY, OK 73112-4294
(405) 840-7040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741770A
—
OK
Enumeration date
05/07/2015
Last updated
05/07/2015
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