Individual
KENADEY ROSE DAHLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 E LUELLEN RD, HINTON, OK 73047-9524
(833) 274-4174
(833) 274-4178
Mailing address
12095 COUNTY ROAD 1060, HINTON, OK 73047-9554
(405) 368-7831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
06/20/2023
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