Individual
JAMES R. KENNEDYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 FOX HILL DR, EDMOND, OK 73034-7317
(405) 330-8982
Mailing address
908 FOX HILL DR, EDMOND, OK 73034-7317
(405) 330-8982
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22846
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848010B
—
OK
05
—
205291107
—
MO
Enumeration date
07/05/2006
Last updated
04/16/2009
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