Search › Oklahoma › 363A00000X
Kennedi Puckett, PA
NPI 1861197295 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1110 N Lee Ave Ste 300
Oklahoma City, OK 73103 - Phone
- (405) 231-3000
- Organisation at this address
- Mcbride Clinic Inc
Saint Medical Group, Llc
St. Anthony Midtown Ambulatory Surgery CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-30
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