Individual
AMANDA LUCHA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
825 NE 10TH ST STE 3C, OKLAHOMA CITY, OK 73104-5417
(205) 271-5239
Mailing address
812 MARSTON DR, EDMOND, OK 73034-3247
(405) 206-8602
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
R0082970
OK
363LW0102X
Women's Health Nurse Practitioner
1072800
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
207362
OK
Other
Enumeration date
01/18/2022
Last updated
07/10/2023
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