Individual
DR. MARY SUE KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2801 SARATOGA ST, SHAWNEE, OK 74804-1739
(405) 273-5801
(405) 878-3814
Mailing address
2801 SARATOGA ST, SHAWNEE, OK 74804-1739
(405) 273-5801
(405) 878-3814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3115
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143570A
—
OK
Enumeration date
06/07/2006
Last updated
05/29/2013
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