Kennison, Vanessa L

Kennison, Vanessa L is an individual health care provider with primary practice located at 1120 S Utica Ave Suite 3074, Tulsa OK 74104-4012. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kennison, Vanessa L can be contacted via phone (918) 579-7100.

Contact Information

Primary practice address
1120 S Utica Ave Suite 3074 Tulsa OK 74104-4012
Phone: (918) 579-7100
Fax: (918) 579-7110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R0062587 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0062587 Oklahoma

Profile Details

NPI number 1578509378
LBN Legal business name Kennison, Vanessa L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 10th, 2016 - about 8 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 1578509378 NPPES
Oklahoma MEDICAID 200120870A

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