Individual
SALLY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 PARKLAND WAY, NORMAN, OK 73069-6536
(405) 816-7828
Mailing address
2307 PARKLAND WAY, NORMAN, OK 73069-6536
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102303
OK
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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