Dean, Kenda L

Dean, Kenda L is an sole proprietor health care provider with primary practice located at 117 S Bridge Blvd , Grandfield OK 73546. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dean, Kenda L can be contacted via phone (580) 560-5715.

Contact Information

Primary practice address
117 S Bridge Blvd Grandfield OK 73546
Phone: (580) 560-5715
Fax: (580) 560-5735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R0075098 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP133894 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75098 Oklahoma

Profile Details

NPI number 1801081658
LBN Legal business name Dean, Kenda L
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Feb 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801081658 NPPES
Oklahoma MEDICAID 200125730A

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