Individual
DENISE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 SW 49TH ST, OKLAHOMA CITY, OK 73119-5228
(405) 680-0886
Mailing address
2625 SW 49TH ST, OKLAHOMA CITY, OK 73119-5228
(405) 680-0886
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2015
Last updated
05/31/2015
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