Individual
MS. KENNEDIE ADISON BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 E SH 152, MUSTANG, OK 73064-5116
(405) 256-6011
(405) 256-6603
Mailing address
1150 E SH 152, MUSTANG, OK 73064-5116
(405) 256-6011
(405) 256-6608
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
E084210095
OK
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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