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Individual

KENDA L DEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
117 S BRIDGE BLVD, GRANDFIELD, OK 73546
(580) 560-5715
(580) 560-5735
Mailing address
PO BOX 475, GRANDFIELD, OK 73546-0475
(580) 560-5715
(580) 560-5735

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R0075098
OK
363LF0000X
Family Nurse Practitioner
Primary
75098
OK
363LF0000X
Family Nurse Practitioner
AP133894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200125730A
OK
Enumeration date
09/13/2007
Last updated
02/07/2024
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