Individual
TENA KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54301 EAST 250 ROAD, AFTON, OK 74331
(918) 521-6933
Mailing address
54301 EAST 250 ROAD, AFTON, OK 74331
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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