Individual
KENNEDY BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4651 N HARRISON ST, SHAWNEE, OK 74804-1440
(405) 395-5655
(405) 395-5654
Mailing address
777 NW 63RD ST FL 4TH, OKLAHOMA CITY, OK 73116-7601
(405) 272-6193
(405) 272-7455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
220145
OK
363LW0102X
Women's Health Nurse Practitioner
Primary
220145
OK
Other
Enumeration date
11/15/2024
Last updated
01/22/2025
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