KARISA JO KENNEDY NP NPI 1053623728

NPI Information

NPI: 1053623728
Provider Name: KARISA JO KENNEDY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1215 NW 25TH ST
OKLAHOMA CITY, OK
ZIP 73106
Phone: (405) 525-2525
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Karisa Jo Kennedy, NP is a family nurse practitioner in Oklahoma City, OK. Karisa Jo Kennedy, NP NPI is 1053623728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1215 NW 25TH ST
OKLAHOMA CITY, OK
ZIP 73106-629
Phone: (405) 525-2525

The NPI 1053623728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2010 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		09209205	OKLAHOMA	No
2	363LF0000X	Nurse Practitioner	Family	202084	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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