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Search › Oklahoma › 405300000X

Nicollette Kennedy

NPI 1578303574 · on the registry since 2024

Practice

Address
16414 W 760 Rd
Tahlequah, OK 74464
Phone
(918) 822-1191
Organisation at this address
Keetoowah Healthcare Services, Llc
Echota Behavioral Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
405300000X
405300000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma