Individual provider · Type 1 NPI

Kendall Wayne Southern, DO, D.PH.

Psychiatry Physician · Vinita, OK

NPI number 1407917792 Active

Practice location

24800 S 4420 Rd
Vinita, OK 74301

Call (918) 256-7841 Map

Fax (918) 256-2952

Mailing address

PO Box 69
Vinita, OK 74301-0069

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X9440 (OK)
Family Medicine Physician 207Q00000X2333 (OK)
Psychiatry Physician Primary 2084P0800X2333 (OK)
Psychiatry Physician 2084P0800XH9426 (TX)
Psychiatry Physician 2084P0800XDO-641 (AL)
Psychiatry Physician 2084P0800X48464 (GA)
Psychiatry Physician 2084P0800X5101009836 (MI)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1407917792

Kendall Wayne Southern, DO, D.PH.'s National Provider Identifier is 1407917792, issued on Dec 12, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Vinita, OK. The record was last updated on Oct 17, 2011.