Kennedye, James R.

Kennedye, James R. is an individual health care provider with primary practice located at 908 Fox Hill Dr , Edmond OK 73034-7317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kennedye, James R. can be contacted via phone (405) 330-8982.

Contact Information

Primary practice address
908 Fox Hill Dr Edmond OK 73034-7317
Phone: (405) 330-8982
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22846 Oklahoma

Profile Details

NPI number 1639100035
LBN Legal business name Kennedye, James R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 16th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639100035 NPPES
Oklahoma MEDICAID 100848010B
Oklahoma MEDICAID 205291107

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