Kendrick, Mary Sue

Kendrick, Mary Sue is an individual health care provider with primary practice located at 2801 Saratoga St , Shawnee OK 74804-1739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kendrick, Mary Sue can be contacted via phone (405) 273-5801.

Contact Information

Primary practice address
2801 Saratoga St Shawnee OK 74804-1739
Phone: (405) 273-5801
Fax: (405) 878-3814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3115 Oklahoma

Profile Details

NPI number 1598705626
LBN Legal business name Kendrick, Mary Sue
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598705626 NPPES
Oklahoma MEDICAID 100143570A

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