Kennedy, Mia

Kennedy, Mia is an sole proprietor health care provider with primary practice located at 7908 Nw 23Rd St , Bethany OK 73008-4950. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kennedy, Mia can be contacted via phone (405) 440-1006.

Contact Information

Primary practice address
7908 Nw 23Rd St Bethany OK 73008-4950
Phone: (405) 440-1006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7689 Oklahoma

Profile Details

NPI number 1356104137
LBN Legal business name Kennedy, Mia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2024
Last updated Feb 5th, 2024 - about 2 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.

Request for update

Popular Providers