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General NPI Number Information
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NPI Number | 1326280819
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Entity Type | Individual
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Provider Name | KUMA CHRISTI KENNEDY MS
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Gender | Female
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1101 HONOR HEIGHTS DR
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City | MUSKOGEE
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State | OK
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Zip | 74401-1302
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Country | US
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Telephone | 918-577-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9080 S 256TH EAST AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74014-5575
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | TPMF1472
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT00998
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License Number State | OK
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