Individual
MRS. KENNEDY BROOKE DECKER-WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1708 DELIVERY LANE, DURANT, OK 74701-2292
(580) 924-5622
(580) 745-5060
Mailing address
1708 DELIVERY LN, DURANT, OK 74701-2292
(580) 924-5622
(580) 745-5060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
734236
TX
163W00000X
Registered Nurse
83279
OK
363LF0000X
Family Nurse Practitioner
Primary
R0083279
OK
Other
Enumeration date
06/29/2009
Last updated
12/31/2025
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