Kennedy, Nicollette

Kennedy, Nicollette is an individual health care provider with primary practice located at 16414 W 760 Rd , Tahlequah OK 74464-1675. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Kennedy, Nicollette can be contacted via phone (918) 822-1191.

Contact Information

Primary practice address
16414 W 760 Rd Tahlequah OK 74464-1675
Phone: (918) 822-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X K083179009 Oklahoma

Profile Details

NPI number 1578303574
LBN Legal business name Kennedy, Nicollette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2024
Last updated May 28th, 2024 - about 2 years ago

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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