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NPI Code Detail

MEDICARE: LAKIN KENNEDY MONROE

MEDICARE:   LAKIN KENNEDY MONROE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1427657212
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKIN KENNEDY MONROE
Provider Business Mailing Address
First Line : 7781 S MINGO RD APT 512
Second Line :
City : TULSA
State : OK
Zip : 74133-3318
Country : US
Telephone Number : 918-289-9399
Fax Number :
Provider Business Practice Location Address
First Line : 7781 S MINGO RD APT 512
Second Line :
City : TULSA
State : OK
Zip : 74133-3318
Country : US
Telephone Number : 918-289-9399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 10/22/2020

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Directions to “ LAKIN KENNEDY MONROE ” Practice Location

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