Individual
KENDRA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 MORAINE AVE, MIDWEST CITY, OK 73130-2635
(405) 931-1278
Mailing address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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