Individual provider · Type 1 NPI

Allie Kennedy

Surgical Physician Assistant · Tulsa, OK

NPI number 1689216251 Active

Practice location

1919 S Wheeling Ave Ste 500
Tulsa, OK 74104-5634

Call (918) 403-6284 Map

Mailing address

9211 E 93rd Pl
Tulsa, OK 74133-5612

Other practice locations

  • 9211 E 93rd Pl, Tulsa, OK 74133-5612 · (918) 606-8530

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X4763 (OK)

Surgical Physician Assistant: Definition to come...

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About NPI 1689216251

Allie Kennedy's National Provider Identifier is 1689216251, issued on Oct 15, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tulsa, OK. The record was last updated on Mar 24, 2022.