Individual provider · Type 1 NPI
Karisa Jo Kennedy, NP
Family Nurse Practitioner · Oklahoma City, OK
NPI number
1053623728
Active
Practice location
1215 NW 25th St
Oklahoma City, OK 73106-5629
Mailing address
1516 SW 82nd Cir
Oklahoma City, OK 73159-5943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 09209205 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | 202084 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053623728
Karisa Jo Kennedy, NP's National Provider Identifier is 1053623728, issued on Jul 9, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 25, 2022.