Individual
KENNEDY GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(918) 233-9550
Mailing address
10109 E 79TH ST, TULSA, OK 74133-4564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4692
OK
Other
Enumeration date
11/23/2021
Last updated
08/28/2024
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