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NPI Code Detail

MEDICARE: DR. DAVID CARLAN KENDRICK MD MPH

MEDICARE:  DR. DAVID CARLAN KENDRICK  MD MPH
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
1207R00000XInternal Medicine Physician22120OK
2208000000XPediatrics Physician22120OK
32083C0008XClinical Informatics Physician22120OK

General Provider Information

NPI Number : 1952382798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CARLAN KENDRICK MD MPH
Provider Business Mailing Address
First Line : PO BOX 268838
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73126-8838
Country : US
Telephone Number : 918-660-3095
Fax Number : 918-660-3090
Provider Business Practice Location Address
First Line : 4444 E 41ST ST
Second Line : 3RD FLOOR, STE A
City : TULSA
State : OK
Zip : 74135-2527
Country : US
Telephone Number : 918-660-3095
Fax Number : 918-660-3090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 12/09/2015

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Directions to “ DR. DAVID CARLAN KENDRICK MD MPH” Practice Location

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