DR. KENDALL WAYNE SOUTHERN D.O. D.PH. NPI 1407917792

NPI Information

  • NPI: 1407917792
  • Provider Name: DR. KENDALL WAYNE SOUTHERN, D.O., D.PH.
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • Address: 24800 S 4420 RD
    VINITA, OK
    ZIP 74301
  • Phone: (918) 256-7841

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NPI Details

DR. Kendall Wayne Southern, D.O., D.PH. is a psychiatry psychiatry neurology in Vinita, OK. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Kendall Wayne Southern, D.O., D.PH. NPI is 1407917792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24800 S 4420 RD
VINITA, OK
ZIP 74301
Phone: (918) 256-7841
Fax: (918) 256-2952

The enumeration date for this NPI number is 12/12/2006 and was last updated on 10/17/2011.

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
12084P0800XPsychiatry & NeurologyPsychiatryH9426TEXASNo
22084P0800XPsychiatry & NeurologyPsychiatryDO-641ALABAMANo
32084P0800XPsychiatry & NeurologyPsychiatry48464GEORGIANo
42084P0800XPsychiatry & NeurologyPsychiatry5101009836MICHIGANNo
5183500000XPharmacist9440OKLAHOMANo
6207Q00000XFamily Medicine2333OKLAHOMANo
72084P0800XPsychiatry & NeurologyPsychiatry2333OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100124360AMEDICAIDOKLAHOMA
2E09679MEDICARE UPINOKLAHOMA

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: 11/21/2025

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