Elaine Kennedy M.D.

NPI 1083634935 - Pediatrics - 2080A0000X

NPI Details
NPI 1083634935
Gender Female
Enumeration Date 07/20/2006
Last Updated 01/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
100 S BLISS AVE
PEDIATRICS CLINIC
TAHLEQUAH OK, 74464-2512, US
Phone (918) 458-3120
Fax
Business Location
1390 HERITAGE LN
PLEASANT VIEW APTS # 92
TAHLEQUAH OK, 74464-2136, US
Phone
Fax
Toxanomy
Taxonomy Code 2080A0000X
License State West Virginia
License Number 22124
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According to our database, Dr. Elaine Kennedy M.D. NPI is 1083634935, taxonomy code is 2080A0000X and license number is 22124, license state is located at West Virginia. Elaine Kennedy M.D. physically located at 100 S Bliss Ave, Tahlequah OK, 74464-2512. NPI Number Elaine Kennedy M.D. has the Individual type.

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1083634935 NPI number is provided on an as is basis without warranty of any kind. 1083634935 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine Kennedy M.D. are for informational purposes only.